Johnson, William Michael

Johnson, William Michael is an individual health care provider with primary practice located at 4004 Dupont Cir , Louisville KY 40207-4819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, William Michael can be contacted via phone (502) 753-4951.

Contact Information

Primary practice address
4004 Dupont Cir Louisville KY 40207-4819
Fax: (502) 498-2225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38349 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 38349 Kentucky

Profile Details

NPI number 1508851171
LBN Legal business name Johnson, William Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508851171 NPPES
Kentucky MEDICAID 64105422
Kentucky MEDICAID 200349100

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