Johnson, James L

Johnson, James L is an individual health care provider with primary practice located at 125 W Yellowstone Ave , Cody WY 82414-8723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, James L can be contacted via phone (307) 527-7129.

Contact Information

Primary practice address
125 W Yellowstone Ave Cody WY 82414-8723
Phone: (307) 527-7129
Fax: (307) 587-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6172A Wyoming

Profile Details

NPI number 1215926985
LBN Legal business name Johnson, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 21st, 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 1215926985 NPPES
Montana Other 95016 BLUE CROSS BLUE SHIELD MT
Montana MEDICAID 113459100 BLUE CROSS BLUE SHIELD MT
Montana MEDICAID 0157896 BLUE CROSS BLUE SHIELD MT
Montana Other 020049170 BLUE CROSS BLUE SHIELD MT
Montana Other 308210 BLUE CROSS BLUE SHIELD MT

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