Thottam, Johnson J

Thottam, Johnson J is an individual health care provider with primary practice located at 4800 Higbee Ave Nw , Canton OH 44718-2528. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thottam, Johnson J can be contacted via phone (330) 492-8521.

Contact Information

Primary practice address
4800 Higbee Ave Nw Canton OH 44718-2528
Fax: (330) 492-1967
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37564 Ohio

Profile Details

NPI number 1922077619
LBN Legal business name Thottam, Johnson J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 30th, 2010 - about 14 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 1922077619 NPPES
Ohio MEDICAID 0366303

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