Johnson, Larry C

Johnson, Larry C is an individual health care provider with primary practice located at 120 Progress Way , Owenton KY 40359-6032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Larry C can be contacted via phone (844) 655-6100.

Contact Information

Primary practice address
120 Progress Way Owenton KY 40359-6032
Phone: (844) 655-6100
Fax: (502) 484-2102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35775 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35775 Kentucky

Profile Details

NPI number 1285653618
LBN Legal business name Johnson, Larry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 5th, 2018 - about 8 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 1285653618 NPPES
Kentucky MEDICAID 64051022

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