Johnson, Frederick Dwayne
Johnson, Frederick Dwayne is an individual health care provider with primary practice located at 5 Woods Cv , Little Rock AR 72210-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Frederick Dwayne can be contacted via phone (501) 348-5797.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 51504 | Tennessee |
Profile Details
| NPI number | 1619143914 |
|---|---|
| LBN Legal business name | Johnson, Frederick Dwayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Jun 10th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619143914 | NPPES |
| Tennessee | MEDICAID | Q007629 |
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