Johnson, John R.
Johnson, John R. is an individual health care provider with primary practice located at 95 Bryan Blvd , Corbin KY 40701-2788. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, John R. can be contacted via phone (606) 526-4590.Contact Information
Primary practice address
95 Bryan Blvd
Corbin KY 40701-2788
Phone: (606) 526-4590
Fax: (606) 526-0548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 21412 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21412 | Kentucky |
Profile Details
| NPI number | 1417028762 |
|---|---|
| LBN Legal business name | Johnson, John R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1417028762 | NPPES |
| Kentucky | Other | 21412 | KY LIC# |
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