Individual
ALAN HENRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 W COLUMBIA ST, EVANSVILLE, IN 47710-1617
(812) 424-9291
(812) 421-2722
Mailing address
533 W COLUMBIA ST, EVANSVILLE, IN 47710-1617
(812) 424-9291
(812) 421-2722
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01031693A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067660
ANTHEM BCBS
IN
05
—
100247150
—
IN
Enumeration date
05/27/2005
Last updated
12/14/2011
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