Johnson, Derek A
Johnson, Derek A is an individual health care provider with primary practice located at 701 Nw 13Th St Fl 3 , Boca Raton FL 33486-2305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Derek A can be contacted via phone (561) 955-5790.Contact Information
Primary practice address
701 Nw 13Th St Fl 3
Boca Raton FL 33486-2305
Phone: (561) 955-5790
Fax: (561) 955-5791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106805 | Florida |
Profile Details
| NPI number | 1962746172 |
|---|---|
| LBN Legal business name | Johnson, Derek A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Mar 18th, 2022 - about 4 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 | 1962746172 | NPPES |
| Florida | Other | 3011968 | CIGNA |
| Florida | Other | 398531 | CIGNA |
| Florida | Other | P01707166 | CIGNA |
| Florida | Other | 1039541 | CIGNA |
| Florida | Other | 4179920 | CIGNA |
| Florida | Other | 974430 | CIGNA |
| Florida | Other | IFS7Z | CIGNA |
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