Johnson, William Dolph
Johnson, William Dolph is an individual health care provider with primary practice located at 5968 Route 25A , Wading River NY 11792-2001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, William Dolph can be contacted via phone (631) 929-0304.Contact Information
Primary practice address
5968 Route 25A
Wading River NY 11792-2001
Phone: (631) 929-0304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 010949 | New York |
Profile Details
| NPI number | 1376757708 |
|---|---|
| LBN Legal business name | Johnson, William Dolph |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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