Johnson, Thomas William

Johnson, Thomas William is an individual health care provider with primary practice located at 419 W Wackerly St , Midland MI 48640-2761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Johnson, Thomas William can be contacted via phone (989) 631-5721.

Contact Information

Primary practice address
419 W Wackerly St Midland MI 48640-2761
Phone: (989) 631-5721
Fax: (989) 631-9919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301050657 Michigan

Profile Details

NPI number 1922189869
LBN Legal business name Johnson, Thomas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 12th, 2016 - about 10 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 1922189869 NPPES
Michigan MEDICAID 1901001
Michigan Other 160E610010
Michigan Other 160023011

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