Johnson, William Michael
Johnson, William Michael is an individual health care provider with primary practice located at 4004 Dupont Cir , Louisville KY 40207-4819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Johnson, William Michael can be contacted via phone (502) 753-4951.Contact Information
Primary practice address
4004 Dupont Cir
Louisville KY 40207-4819
Phone: (502) 753-4951
Fax: (502) 498-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 38349 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 38349 | Kentucky |
Profile Details
| NPI number | 1508851171 |
|---|---|
| LBN Legal business name | Johnson, William Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 10th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508851171 | NPPES |
| Kentucky | MEDICAID | 64105422 | |
| Kentucky | MEDICAID | 200349100 |
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