Individual
JUSTIN SEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3228
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01078903A
IN
208D00000X
General Practice Physician
01078903A
IN
Other
Enumeration date
06/03/2016
Last updated
09/30/2021
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