Johnston, Judd C

Johnston, Judd C is an individual health care provider with primary practice located at 901 Lakeshore Dr , Ishpeming MI 49849-1367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Johnston, Judd C can be contacted via phone (906) 485-2634.

Contact Information

Primary practice address
901 Lakeshore Dr Ishpeming MI 49849-1367
Phone: (906) 485-2634
Fax: (906) 485-2344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 4301050861 Michigan

Profile Details

NPI number 1033163878
LBN Legal business name Johnston, Judd C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 13th, 2013 - 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 1033163878 NPPES
Michigan MEDICAID 1862790
Michigan Other 220016108
Michigan Other 2205245571

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