Johnson, Matthew David
Johnson, Matthew David is an individual health care provider with primary practice located at 747 N Rutledge St 5Th Floor, Springfield IL 62702-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Johnson, Matthew David can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
747 N Rutledge St 5Th Floor
Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036-139255 | Illinois |
Profile Details
| NPI number | 1881824647 |
|---|---|
| LBN Legal business name | Johnson, Matthew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Nov 17th, 2020 - about 5 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 | 1881824647 | NPPES |
| Illinois | MEDICAID | 036139255 |
Popular Providers
-
Myers, Phillip W
301 N 8Th St , Springfield IL 62701-1041 -
Gregory, Stacie Renee
301 N 8Th St Pav 5B, Springfield IL 62701-1041 -
Fowler, Sarah S
1025 S 6Th St , Springfield IL 62703-2403 -
Konrad, Horst R
301 N 8Th St , Springfield IL 62701-1041 -
Robbins, Kevin T
301 N 8Th St , Springfield IL 62701-1041 -
Wing, Sara M.
301 N 8Th St Ste 5B , Springfield IL 62701-1041 -
Bass, Richard M
301 N 8Th St , Springfield IL 62701-1041 -
Crosby, Dana Lynn
301 N 8Th St Suite Pav5B, Springfield IL 62701-1041