C. Michael Johnson, D.O,Inc.

LBN: C. Michael Johnson, D.O,Inc.
C. Michael Johnson, D.O,Inc. is an health care organization with primary practice located at 802 S Jackson Ave Suite 110, Tulsa OK 74127-9015. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. C. Michael Johnson, D.O,Inc. can be contacted via phone (918) 587-2389, or through Monroe, Susie via phone (918) 587-2389.

Contact Information

Primary practice address
802 S Jackson Ave Suite 110 Tulsa OK 74127-9015
Phone: (918) 587-2389
Fax: (918) 587-4389
Website:
Map and Directions
Authorized official contact:
Name: Monroe, Susie
Phone: (918) 587-2389

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 1716 Oklahoma

Profile Details

NPI number 1679746895
LBN Legal business name C. Michael Johnson, D.O,Inc.
DBA Doing business as
Authorized official Monroe, Susie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2008
Last updated Nov 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679746895 NPPES
Oklahoma MEDICAID 100088070 A

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