Johnson, Brian L.
Johnson, Brian L. is an sole proprietor health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Johnson, Brian L. can be contacted via phone (573) 635-5264.Contact Information
Primary practice address
1241 W Stadium Blvd
Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 761-4351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 108712 | Missouri |
Profile Details
| NPI number | 1790781896 |
|---|---|
| LBN Legal business name | Johnson, Brian L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Dec 23rd, 2014 - about 11 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 | 1790781896 | NPPES |
| Missouri | Other | 434227 | HEALTHLINK IND |
| Missouri | Other | 7034216 | HEALTHLINK IND |
| Missouri | Other | 127908 | HEALTHLINK IND |
| Missouri | MEDICAID | 204961809 | HEALTHLINK IND |
| Missouri | Other | 128687 | HEALTHLINK IND |
| Missouri | Other | 204961809 | HEALTHLINK IND |
| Missouri | Other | 9201146 | HEALTHLINK IND |
| Missouri | Other | 1816637 | HEALTHLINK IND |
| Missouri | Other | 20433 | HEALTHLINK IND |
| Missouri | Other | A002 | HEALTHLINK IND |
| Missouri | Other | H12503 | HEALTHLINK IND |
| Missouri | Other | P00119749 | HEALTHLINK IND |
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