Johnston, James Gilliam

Johnston, James Gilliam is an individual health care provider with primary practice located at 18 Old Etna Rd Dhmc - Family Medicine, Lebanon NH 03766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, James Gilliam can be contacted via phone (603) 650-4000.

Contact Information

Primary practice address
18 Old Etna Rd Dhmc - Family Medicine Lebanon NH 03766
Phone: (603) 650-4000
Fax: (603) 650-4198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14733 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0011922 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 012982 Maine

Profile Details

NPI number 1811963283
LBN Legal business name Johnston, James Gilliam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 5th, 2012 - about 12 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 1811963283 NPPES
Vermont MEDICAID 1017549
Vermont MEDICAID 315300099
Vermont MEDICAID 30209510

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