Johnson, Earlie T
Johnson, Earlie T is an sole proprietor health care provider with primary practice located at 2580 Henderson Dr , Jacksonville NC 28546-5252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Earlie T can be contacted via phone (910) 346-1188.Contact Information
Primary practice address
2580 Henderson Dr
Jacksonville NC 28546-5252
Phone: (910) 346-1188
Fax: (910) 346-1275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31729 | North Carolina |
Profile Details
| NPI number | 1275594079 |
|---|---|
| LBN Legal business name | Johnson, Earlie T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Dec 19th, 2012 - about 14 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 | 1275594079 | NPPES |
| North Carolina | Other | 0154H | BCBS |
| North Carolina | MEDICAID | 890154H | BCBS |
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