Homer, Edgar Johnson

Homer, Edgar Johnson is an sole proprietor health care provider with primary practice located at 8933 S 253Rd East Ave , Broken Arrow OK 74014-2299. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Homer, Edgar Johnson can be contacted via phone (480) 529-3630.

Contact Information

Primary practice address
8933 S 253Rd East Ave Broken Arrow OK 74014-2299
Phone: (480) 529-3630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma

Profile Details

NPI number 1477918126
LBN Legal business name Homer, Edgar Johnson
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2015
Last updated Dec 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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