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NPI Code Detail

MEDICARE: ALAN HENRY JOHNSON M.D.

MEDICARE: ALAN HENRY JOHNSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician01031693AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000067660OTHERINANTHEM BCBS

General Provider Information

NPI Number : 1326041039
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN HENRY JOHNSON M.D.
Provider Business Mailing Address
First Line : 533 W COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1617
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Provider Business Practice Location Address
First Line : 533 W COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1617
Country : US
Telephone Number : 812-424-9291
Fax Number : 812-421-2722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 12/14/2011

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