Johnson, Jamie L
Johnson, Jamie L is an individual health care provider with primary practice located at 100 W Lake Professional Park Ste 3 , Geneva AL 36340-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Jamie L can be contacted via phone (334) 684-8905.Contact Information
Primary practice address
100 W Lake Professional Park Ste 3
Geneva AL 36340-1200
Phone: (334) 684-8905
Fax: (334) 684-8908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1-118761 | Alabama |
Profile Details
| NPI number | 1184110850 |
|---|---|
| LBN Legal business name | Johnson, Jamie L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2018 |
| Last updated | Jun 14th, 2022 - about 4 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 | 1184110850 | NPPES |
| Alabama | MEDICAID | 280895 |
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