Individual
DR. JOHN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5521 W LINCOLN HWY STE 1A, CROWN POINT, IN 46307-1098
(219) 769-8284
(219) 769-8298
Mailing address
PO BOX 4776, BLOOMINGTON, IN 47402-4776
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01025146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01025146A
IN LICENSE
IN
01
—
01025146B
CSR
IN
Enumeration date
08/31/2006
Last updated
03/07/2023
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