Bertram Lee Johnson in Lancaster - Specialist
Bertram Lee Johnson - NPI 1477588218
Bertram Lee Johnson is a Specialist in Lancaster, Pennsylvania. Bertram Lee Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bertram Lee Johnson is 1477588218. The last update date is 2018-02-05.
Bertram Lee Johnson's current location address is 1821 Oregon Pike Ste 2, Lancaster, Pennsylvania. You can contact this provider via phone number 7175697100 and fax number 7175693011. The mailing address for Bertram Lee Johnson is 1821 Oregon Pike Ste 2, Lancaster, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bertram Lee Johnson |
|---|---|
| Address | 1821 Oregon Pike Ste 2, Lancaster, Pennsylvania |
| Phone Number | 7175697100 |
| Fax Number | 7175693011 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477588218 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2018-02-05 |
Provider Mailing Address Detail
| Address | 1821 Oregon Pike Ste 2 |
|---|---|
| City | Lancaster |
| State | Pennsylvania (PA) |
| Post Code | 176016466 |
| Phone Number | 7175697100 |
| Fax Number | 7175693011 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD012613E |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602572 | PA | -- | |
| 233072995 | PA | TID |
Post Comment/ Review Below
What is the Bertram Lee Johnson's 1477588218?
The Bertram Lee Johnson's NPI (National Provider Identifier) Number is 1477588218. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bertram Lee Johnson's physical address?
The Bertram Lee Johnson is physically located at 1821 Oregon Pike Ste 2, in the city of Lancaster, PA, with the postal code 176016466.
What is Bertram Lee Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bertram Lee Johnson's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Bertram Lee Johnson receive its 1477588218 assignment from the Centers for Medicare & Medicaid Services?
The Bertram Lee Johnson was assigned its 1477588218 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the details related to Bertram Lee Johnson most recently updated or revised?
The information pertaining to Bertram Lee Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2018-02-05.