Johnson, Brian T

Johnson, Brian T is an sole proprietor health care provider with primary practice located at 1805 Cypress Brook Dr Suite 101, Trinity FL 34655-4417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Johnson, Brian T can be contacted via phone (727) 264-8833.

Contact Information

Primary practice address
1805 Cypress Brook Dr Suite 101 Trinity FL 34655-4417
Phone: (727) 264-8833
Fax: (727) 264-8827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0057286 Florida

Profile Details

NPI number 1578556189
LBN Legal business name Johnson, Brian T
Credentials MD PL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Jan 15th, 2013 - about 13 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 1578556189 NPPES
Other 2372307 GHI
Other P01014397 GHI
Other 002WH GHI
Other 10230 GHI
Other P00181819 GHI
Other DC6458 GHI
Other DS2914 GHI

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