Johnson, James Albert

Johnson, James Albert is an individual health care provider with primary practice located at 101 Skyline Dr , Russellville AR 72801-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, James Albert can be contacted via phone (479) 968-2345.

Contact Information

Primary practice address
101 Skyline Dr Russellville AR 72801-3363
Phone: (479) 968-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11075 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X C-4945 Arkansas

Profile Details

NPI number 1053378257
LBN Legal business name Johnson, James Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 27th, 2020 - 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 1053378257 NPPES
Oklahoma MEDICAID 100074240A
Oklahoma MEDICAID 152160001

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