Johnston, Douglas Thomas

Johnston, Douglas Thomas is an individual health care provider with primary practice located at 200 Patewood Dr Ste A140 , Greenville SC 29615-3585. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Johnston, Douglas Thomas can be contacted via phone (864) 454-5125.

Contact Information

Primary practice address
200 Patewood Dr Ste A140 Greenville SC 29615-3585
Phone: (864) 454-5125
Fax: (864) 241-9201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2011-01906 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 967 South Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X DO840 Alabama

Profile Details

NPI number 1124048079
LBN Legal business name Johnston, Douglas Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 16th, 2022 - about 2 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 1124048079 NPPES
North Carolina MEDICAID 5920097
North Carolina MEDICAID PENDING
North Carolina MEDICAID 009671

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