Johnson, Wade Lane

Johnson, Wade Lane is an sole proprietor health care provider with primary practice located at 104 Moodys Run , Williamsburg VA 23185-6557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, Wade Lane can be contacted via phone (757) 229-8816.

Contact Information

Primary practice address
104 Moodys Run Williamsburg VA 23185-6557
Phone: (757) 229-8816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101018624 Virginia

Profile Details

NPI number 1801142971
LBN Legal business name Johnson, Wade Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Jul 26th, 2012 - about 14 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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