Johnson, Jordan S
Johnson, Jordan S is an individual health care provider with primary practice located at 9821 S May Ave Ste C , Oklahoma City OK 73159-7042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Johnson, Jordan S can be contacted via phone (405) 691-0505.Contact Information
Primary practice address
9821 S May Ave Ste C
Oklahoma City OK 73159-7042
Phone: (405) 691-0505
Fax: (405) 691-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 32660 | Oklahoma |
Profile Details
| NPI number | 1851682470 |
|---|---|
| LBN Legal business name | Johnson, Jordan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2011 |
| Last updated | Dec 8th, 2025 - about last year |
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 | 1851682470 | NPPES |
| Oklahoma | MEDICAID | 200707220A |
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