Agner, Rebecca Johnson
Agner, Rebecca Johnson is an individual health care provider with primary practice located at 3050 Harrodsburg Rd Ste 100 , Lexington KY 40503-2714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Agner, Rebecca Johnson can be contacted via phone (859) 277-6102.Contact Information
Primary practice address
3050 Harrodsburg Rd Ste 100
Lexington KY 40503-2714
Phone: (859) 277-6102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 05306 | Kentucky |
Profile Details
| NPI number | 1023578267 |
|---|---|
| LBN Legal business name | Agner, Rebecca Johnson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Jan 5th, 2024 - about 11 months 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 | 1023578267 | NPPES |
| Kentucky | MEDICAID | 7100843030 |
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