Johnson, Ian James
Johnson, Ian James is an individual health care provider with primary practice located at 1381 South Patrick Dr, Patrick Afb 45 Medical Group, Patrick Afb FL 32925-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Johnson, Ian James can be contacted via phone (321) 494-8152.Contact Information
Primary practice address
1381 South Patrick Dr, Patrick Afb 45 Medical Group
Patrick Afb FL 32925-4162
Phone: (321) 494-8152
Fax: (321) 494-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | G0440 | Texas |
Profile Details
| NPI number | 1265404990 |
|---|---|
| LBN Legal business name | Johnson, Ian James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jun 25th, 2009 - about 17 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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