Johnson, John Alden

Johnson, John Alden is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, John Alden can be contacted via phone (601) 268-5660.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R4429 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 12130 Mississippi

Profile Details

NPI number 1902860372
LBN Legal business name Johnson, John Alden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 3rd, 2020 - about 6 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 1902860372 NPPES
Mississippi Other 4344773 CIGNA
Mississippi Other 6027328 CIGNA
Mississippi MEDICAID 04431870 CIGNA
Mississippi MEDICAID 123146001 CIGNA
Mississippi Other 4594666 CIGNA

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