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
Phone: (330) 492-8521
Fax: (330) 492-1967
Website:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1922077619 | NPPES |
Ohio | MEDICAID | 0366303 |
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