Johnson, Roger T
Johnson, Roger T is an individual health care provider with primary practice located at Main St Family Healthcare Assoc Inc, Pineville WV 24874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Roger T can be contacted via phone (304) 732-6735.Contact Information
Primary practice address
Main St Family Healthcare Assoc Inc
Pineville WV 24874
Phone: (304) 732-6735
Fax: (304) 732-9161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 122 | West Virginia |
Profile Details
| NPI number | 1316038607 |
|---|---|
| LBN Legal business name | Johnson, Roger T |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316038607 | NPPES |
| West Virginia | MEDICAID | 3810000499 |
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