Johnson, Robert Ray
Johnson, Robert Ray is an individual health care provider with primary practice located at 1333 S Dickinson Dr Unit 140 , Leland NC 28451-6434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Robert Ray can be contacted via phone (910) 371-0404.Contact Information
Primary practice address
1333 S Dickinson Dr Unit 140
Leland NC 28451-6434
Phone: (910) 371-0404
Fax: (910) 341-3321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 009400085 | North Carolina |
Profile Details
| NPI number | 1982780722 |
|---|---|
| LBN Legal business name | Johnson, Robert Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 16th, 2014 - about 12 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 | 1982780722 | NPPES |
| North Carolina | MEDICAID | 890262P | |
| North Carolina | MEDICAID | 8946680 |
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