Johnson, Richard Keith
Johnson, Richard Keith is an individual health care provider with primary practice located at 1023 Medical Center Pkwy Ste 311 , Selma AL 36701-7740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Richard Keith can be contacted via phone (334) 418-6652.Contact Information
Primary practice address
1023 Medical Center Pkwy Ste 311
Selma AL 36701-7740
Phone: (334) 418-6652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2006015220 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19773 | Mississippi |
Profile Details
| NPI number | 1669494175 |
|---|---|
| LBN Legal business name | Johnson, Richard Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Feb 2nd, 2024 - about 2 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 | 1669494175 | NPPES |
| Missouri | MEDICAID | 203735600 | |
| Missouri | Other | 209433 | |
| Missouri | Other | 752753 | |
| Missouri | MEDICAID | 03826375 |
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