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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669494175 NPPES
Missouri MEDICAID 203735600
Missouri Other 209433
Missouri Other 752753
Missouri MEDICAID 03826375

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