Northup, John David

Northup, John David is an sole proprietor health care provider with primary practice located at 12345 Mercy Blvd , Savannah GA 31419-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Northup, John David can be contacted via phone (912) 927-3046.

Contact Information

Primary practice address
12345 Mercy Blvd Savannah GA 31419-3436
Fax: (912) 925-0597
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 016651 Georgia

Profile Details

NPI number 1023232527
LBN Legal business name Northup, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jan 3rd, 2014 - about 11 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 1023232527 NPPES
Georgia MEDICAID 000018092A
Georgia Other 110164346
Georgia Other 581263266

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