Johnson, Terrie M

Johnson, Terrie M is an individual health care provider with primary practice located at 2939 N Military Trl , West Palm Beach FL 33409-2916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Terrie M can be contacted via phone (561) 863-5757.

Contact Information

Primary practice address
2939 N Military Trl West Palm Beach FL 33409-2916
Phone: (561) 863-5757
Fax: (561) 863-6627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME87569 Florida

Profile Details

NPI number 1790774255
LBN Legal business name Johnson, Terrie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Apr 23rd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790774255 NPPES
Other 291325 AVMED
Other 5720771 AVMED
MEDICAID 268732100 AVMED
Other 82186 AVMED

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