Johnston, Samuel Lewis
Johnston, Samuel Lewis is an individual health care provider with primary practice located at 200 Hawkins Dr E315Gh, Iowa City IA 52242-1009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Johnston, Samuel Lewis can be contacted via phone (319) 356-3689.Contact Information
Primary practice address
200 Hawkins Dr E315Gh
Iowa City IA 52242-1009
Phone: (319) 356-3689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-114065 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD153947 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-114065 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD153947 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-4224 | Iowa |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036114065 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD153947 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD-42224 | Iowa |
Profile Details
| NPI number | 1184832271 |
|---|---|
| LBN Legal business name | Johnston, Samuel Lewis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2007 |
| Last updated | Dec 12th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184832271 | NPPES |
| Illinois | Other | 206147126 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 206147 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | MEDICAID | 036114065 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | P01209465 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | CA4748 | MEDICARE PTAN (INDIVIDUAL) |
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