Johnson, William H
Johnson, William H is an individual health care provider with primary practice located at 588 Sterthaus Dr , Ormond Beach FL 32174-5128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Johnson, William H can be contacted via phone (386) 672-9503.Contact Information
Primary practice address
588 Sterthaus Dr
Ormond Beach FL 32174-5128
Phone: (386) 672-9503
Fax: (386) 672-0386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME36700 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME36700 | Florida |
Profile Details
| NPI number | 1245226695 |
|---|---|
| LBN Legal business name | Johnson, William H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Apr 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245226695 | NPPES |
| Florida | MEDICAID | 012903200-GROUP | |
| Florida | Other | DV0492-GROUP | |
| Florida | MEDICAID | 041690800-INDIVIDUAL | |
| Florida | Other | P01369814-INDIVIDUAL | |
| Florida | Other | 007WM |
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