Johnston, Jean Madinger

Johnston, Jean Madinger is an individual health care provider with primary practice located at 154 Commack Rd , Commack NY 11725-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnston, Jean Madinger can be contacted via phone (631) 499-8282.

Contact Information

Primary practice address
154 Commack Rd Commack NY 11725-3457
Phone: (631) 499-8282
Fax: (631) 462-5462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 165968 New York

Profile Details

NPI number 1982773792
LBN Legal business name Johnston, Jean Madinger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 4th, 2010 - about 15 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 1982773792 NPPES
Other CP502 OXFORD
MEDICAID 01747382 OXFORD
Other 457X21 OXFORD

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