Johnson, Dianne Laroche

Johnson, Dianne Laroche is an individual health care provider with primary practice located at 3599 University Blvd. S. Bldg. 300, Jacksonville FL 32216-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Johnson, Dianne Laroche can be contacted via phone (904) 399-5550.

Contact Information

Primary practice address
3599 University Blvd. S. Bldg. 300 Jacksonville FL 32216-0000
Phone: (904) 399-5550
Fax: (904) 346-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME93196 Florida

Profile Details

NPI number 1538150610
LBN Legal business name Johnson, Dianne Laroche
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2005
Last updated Aug 21st, 2017 - about 9 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 1538150610 NPPES
Georgia Other P00319147 RAILROAD MEDICARE
Georgia MEDICAID 109749741A RAILROAD MEDICARE
Georgia MEDICAID 275351100 RAILROAD MEDICARE

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