Bryant, Johnny Wayne
Bryant, Johnny Wayne is an sole proprietor health care provider with primary practice located at 423 South 28Th St Suite A, Paducah KY 42003-3865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bryant, Johnny Wayne can be contacted via phone (270) 442-7181.Contact Information
Primary practice address
423 South 28Th St Suite A
Paducah KY 42003-3865
Phone: (270) 442-7181
Fax: (271) 442-0113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35692 | Kentucky |
Profile Details
| NPI number | 1588626774 |
|---|---|
| LBN Legal business name | Bryant, Johnny Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jun 20th, 2012 - about 13 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 | 1588626774 | NPPES |
| Kentucky | MEDICAID | 64013931 |
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