Duncan, Johnny D
Duncan, Johnny D is an individual health care provider with primary practice located at 3201 W Gore Blvd Ste 201 , Lawton OK 73505-6350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is his primary health care specialty. Duncan, Johnny D can be contacted via phone (805) 250-6659.Contact Information
Primary practice address
3201 W Gore Blvd Ste 201
Lawton OK 73505-6350
Phone: (805) 250-6659
Fax: (580) 250-5249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 3110 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2081N0008X | 3110 | Oklahoma |
Profile Details
| NPI number | 1790771095 |
|---|---|
| LBN Legal business name | Duncan, Johnny D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Aug 21st, 2023 - about last year |
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 | 1790771095 | NPPES |
| Oklahoma | Other | 175194701 | DOL |
| Oklahoma | Other | 5959599 | DOL |
| Oklahoma | MEDICAID | 100765610B | DOL |
| Oklahoma | Other | 140007299 | DOL |
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