Johnson, Corey Morgan

Johnson, Corey Morgan is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Suite 302, Owensboro KY 42303-9774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, Corey Morgan can be contacted via phone (270) 688-4480.

Contact Information

Primary practice address
1301 Pleasant Valley Rd Suite 302 Owensboro KY 42303-9774
Phone: (270) 688-4480
Fax: (270) 688-4489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01069814A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 44616 Kentucky

Profile Details

NPI number 1861601916
LBN Legal business name Johnson, Corey Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated May 3rd, 2019 - about 6 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 1861601916 NPPES
Kentucky MEDICAID 7100179530
Kentucky MEDICAID 201029080

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