Johnson, Tim D

Johnson, Tim D is an individual health care provider with primary practice located at 6220 Perkins Road , Baton Rouge LA 70808-4120. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Johnson, Tim D can be contacted via phone (225) 768-7777.

Contact Information

Primary practice address
6220 Perkins Road Baton Rouge LA 70808-4120
Phone: (225) 768-7777
Fax: (225) 214-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 016429 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 016429 Louisiana

Profile Details

NPI number 1437181351
LBN Legal business name Johnson, Tim D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 3rd, 2019 - about 7 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 1437181351 NPPES
Louisiana MEDICAID 1361101

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