Washington, Johnny

Washington, Johnny is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Washington, Johnny can be contacted via phone (904) 383-1010.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 383-1010
Fax: (904) 244-3457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 64298 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME133343 Florida

Profile Details

NPI number 1407007552
LBN Legal business name Washington, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Jul 21st, 2022 - about 2 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 1407007552 NPPES
Georgia MEDICAID 003150119L
Georgia MEDICAID 003150119D
Georgia MEDICAID 003150119I
Georgia Other 02427208
Georgia MEDICAID 003150119C
Georgia MEDICAID 003150119G
Georgia MEDICAID 003150119J
Georgia Other 1023416
Georgia MEDICAID 003150119E
Georgia MEDICAID 003150119H
Georgia MEDICAID 003150119K
Georgia Other 0532272
Georgia MEDICAID 003150119F
Georgia Other 202I208229
Georgia MEDICAID 003150119A
Georgia MEDICAID 003150119B

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