Johnson, Jeffrey A.

Johnson, Jeffrey A. is an individual health care provider with primary practice located at 1923 S Utica Ave Er Dept, Tulsa OK 74104-6520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Jeffrey A. can be contacted via phone (918) 744-3528.

Contact Information

Primary practice address
1923 S Utica Ave Er Dept Tulsa OK 74104-6520
Phone: (918) 744-3528
Fax: (918) 744-3529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24910 Oklahoma

Profile Details

NPI number 1356386528
LBN Legal business name Johnson, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 4th, 2011 - about 15 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 1356386528 NPPES
Oklahoma MEDICAID 200084670A

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