Johnson, Lenworth N
Johnson, Lenworth N is an individual health care provider with primary practice located at 1 Hoppin St Coro West/Ste 202, Providence RI 02903-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Lenworth N can be contacted via phone (401) 444-6551.Contact Information
Primary practice address
1 Hoppin St Coro West/Ste 202
Providence RI 02903-4141
Phone: (401) 444-6551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R7N60 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD14426 | Rhode Island |
Profile Details
| NPI number | 1225086655 |
|---|---|
| LBN Legal business name | Johnson, Lenworth N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 22nd, 2013 - about 13 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 | 1225086655 | NPPES |
| Missouri | MEDICAID | 202887907 | |
| Missouri | Other | 804021 | |
| Missouri | Other | 9312 | |
| Missouri | Other | 2086330901 | |
| Missouri | Other | 131956 |
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