Johnson, Douglas William

Johnson, Douglas William is an individual health care provider with primary practice located at 7015 A C Skinner Pkwy Bldg 100 , Jacksonville FL 32256-6932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Johnson, Douglas William can be contacted via phone (904) 516-3737.

Contact Information

Primary practice address
7015 A C Skinner Pkwy Bldg 100 Jacksonville FL 32256-6932
Phone: (904) 516-3737
Fax: (904) 516-3738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME43406 Florida

Profile Details

NPI number 1497712384
LBN Legal business name Johnson, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 17th, 2018 - about 7 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 1497712384 NPPES
Florida Other 03911 BCBS
Florida Other AJ038S BCBS
Florida Other P00191285 BCBS
Florida Other 040225 BCBS
Florida MEDICAID 853120709A BCBS
Florida MEDICAID 046276400 BCBS

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