Johnson, Robert C

Johnson, Robert C is an individual health care provider with primary practice located at 1200 S Euclid Ave Ste # 212, Sioux Falls SD 57105-7703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, Robert C can be contacted via phone (605) 336-0635.

Contact Information

Primary practice address
1200 S Euclid Ave Ste # 212 Sioux Falls SD 57105-7703
Phone: (605) 336-0635
Fax: (605) 336-7182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2221 South Dakota

Profile Details

NPI number 1386692291
LBN Legal business name Johnson, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 24th, 2008 - about 17 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 1386692291 NPPES
Iowa MEDICAID 0956011
Iowa Other 340007599
Iowa MEDICAID 7500130

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