Hammons, Johnny Bruce

Hammons, Johnny Bruce is an sole proprietor health care provider with primary practice located at 2 Trillium Way Suite 306, Corbin KY 40701-8490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Hammons, Johnny Bruce can be contacted via phone (606) 526-4070.

Contact Information

Primary practice address
2 Trillium Way Suite 306 Corbin KY 40701-8490
Phone: (606) 526-4070
Fax: (606) 526-4072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 46997 Kentucky

Profile Details

NPI number 1316239189
LBN Legal business name Hammons, Johnny Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2011
Last updated Dec 4th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316239189 NPPES
Kentucky MEDICAID 7100316770
Kentucky Other P01384617

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