Johnson, Kurt Darwin
Johnson, Kurt Darwin is an sole proprietor health care provider with primary practice located at 187 Doctors Dr , Pearl MS 39208-4042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Kurt Darwin can be contacted via phone (601) 932-8722.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11099 | Mississippi |
Profile Details
| NPI number | 1598754913 |
|---|---|
| LBN Legal business name | Johnson, Kurt Darwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598754913 | NPPES |
| Mississippi | MEDICAID | 0011618 |
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