Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB JOHNSON, SOIDC
Active Sole ProprietorJACOB JOHNSON, SOIDC is a Independent Duty Corpsman healthcare provider located in HOLLY RIDGE, North Carolina. NPI 1588273999 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · HOLLY RIDGE, NC
Registration Details
- NPI Number
- 1588273999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2020 (5.855395159279 yrs)
- Last Updated
- Jul 31, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 SALVO CTHOLLY RIDGE, NC, 284458609Browse NC providers · Browse ZIP 28445
- Phone
- 5732016504
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in HOLLY RIDGE, NC
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY KEITH BERREY | — | 1285246678 |
| MR. ROBERT STEVEN WOODS | SOIDC | 1831771591 |
| DANIEL STOUS II | — | 1982403044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.