Johnson, Cleveland Eric
Johnson, Cleveland Eric is an individual health care provider with primary practice located at 424 S 13Th Ave , Laurel MS 39440-4345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Cleveland Eric can be contacted via phone (601) 649-5990.Contact Information
Primary practice address
424 S 13Th Ave
Laurel MS 39440-4345
Phone: (601) 649-5990
Fax: (601) 425-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 05931 | Mississippi |
Profile Details
| NPI number | 1497724926 |
|---|---|
| LBN Legal business name | Johnson, Cleveland Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497724926 | NPPES |
| Mississippi | MEDICAID | 00012410 |
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