Hyde, Johnny

Hyde, Johnny is an individual health care provider with primary practice located at 5875 Bremo Rd Mob South, Suite G-7, Richmond VA 23226-1934. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Hyde, Johnny can be contacted via phone (804) 228-8900.

Contact Information

Primary practice address
5875 Bremo Rd Mob South, Suite G-7 Richmond VA 23226-1934
Phone: (804) 228-8900
Fax: (804) 282-9460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101239563 Virginia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 0101239563 Virginia

Profile Details

NPI number 1558341024
LBN Legal business name Hyde, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 7th, 2023 - about 3 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 1558341024 NPPES
Virginia MEDICAID 010266271
Virginia Other C06778
Virginia Other 10008181
Virginia Other P00360751

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