Johnson, Michael Andrew

Johnson, Michael Andrew is an individual health care provider with primary practice located at 1005 Mar Walt Dr Internal Medicine Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Michael Andrew can be contacted via phone (850) 863-8202.

Contact Information

Primary practice address
1005 Mar Walt Dr Internal Medicine Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004773 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104179 Florida

Profile Details

NPI number 1174517627
LBN Legal business name Johnson, Michael Andrew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated May 19th, 2009 - about 17 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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