Johnston, Walter E
Johnston, Walter E is an individual health care provider with primary practice located at 1907 Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Walter E can be contacted via phone (601) 636-1173.Contact Information
Primary practice address
1907 Mission 66
Vicksburg MS 39180-3711
Phone: (601) 636-1173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 07023 | Mississippi |
Profile Details
| NPI number | 1952332181 |
|---|---|
| LBN Legal business name | Johnston, Walter E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Sep 10th, 2020 - about 4 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 | 1952332181 | NPPES |
| Mississippi | MEDICAID | 00014424 | |
| Mississippi | Other | 5891536 | |
| Mississippi | MEDICAID | 1141411 |
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