Johnson, Ernest Van

Johnson, Ernest Van is an individual health care provider with primary practice located at 535 Jack Warner Pkwy Ne Suite B-1, Tuscaloosa AL 35404-5751. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Ernest Van can be contacted via phone (205) 556-2121.

Contact Information

Primary practice address
535 Jack Warner Pkwy Ne Suite B-1 Tuscaloosa AL 35404-5751
Fax: (205) 554-0152
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11457 Alabama

Profile Details

NPI number 1477578110
LBN Legal business name Johnson, Ernest Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 28th, 2010 - about 15 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 1477578110 NPPES
Alabama MEDICAID 529202430

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