Johnson, Joseph Roy

Johnson, Joseph Roy is an individual health care provider with primary practice located at 717 S Houston Ave Ste 200 , Tulsa OK 74127-9005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Johnson, Joseph Roy can be contacted via phone (918) 586-4500.

Contact Information

Primary practice address
717 S Houston Ave Ste 200 Tulsa OK 74127-9005
Phone: (918) 586-4500
Fax: (918) 586-4528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4355 Oklahoma

Profile Details

NPI number 1457310658
LBN Legal business name Johnson, Joseph Roy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 11th, 2019 - 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 1457310658 NPPES
Oklahoma MEDICAID 200073890A

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