Johnson, Carroll Don

Johnson, Carroll Don is an individual health care provider with primary practice located at 2909 Military Rd , Benton AR 72015-2721. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Johnson, Carroll Don can be contacted via phone (501) 315-6500.

Contact Information

Primary practice address
2909 Military Rd Benton AR 72015-2721
Phone: (501) 315-6500
Fax: (501) 315-0006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X E2435 Kentucky

Profile Details

NPI number 1073540159
LBN Legal business name Johnson, Carroll Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1073540159 NPPES
Arkansas MEDICAID 1424420001
Arkansas Other 5L735

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