Johnson, William R

Johnson, William R is an individual health care provider with primary practice located at 1819 W Clinch Ave Suite 114, Knoxville TN 37916-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, William R can be contacted via phone (865) 524-1631.

Contact Information

Primary practice address
1819 W Clinch Ave Suite 114 Knoxville TN 37916-2434
Phone: (865) 524-1631
Fax: (865) 541-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18815 Tennessee

Profile Details

NPI number 1154365583
LBN Legal business name Johnson, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 13th, 2020 - about 5 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 1154365583 NPPES
Tennessee MEDICAID 3033627
Tennessee Other 080064816

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