Johns, Stephen

Johns, Stephen is an individual health care provider with primary practice located at 1340 Broad Ave Ste 450, Gulfport MS 39501-2404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Johns, Stephen can be contacted via phone (228) 865-1453.

Contact Information

Primary practice address
1340 Broad Ave Ste 450 Gulfport MS 39501-2404
Phone: (228) 865-1453
Fax: (228) 865-1457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11374 Mississippi
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 11374 Mississippi

Profile Details

NPI number 1881709053
LBN Legal business name Johns, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 26th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881709053 NPPES
Mississippi MEDICAID 00114017
Mississippi Other 080069404

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