Johnson, Carroll Don
Johnson, Carroll Don is an individual health care provider with primary practice located at 2909 Military Rd , Benton AR 72015-2721. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Johnson, Carroll Don can be contacted via phone (501) 315-6500.Contact Information
Primary practice address
2909 Military Rd
Benton AR 72015-2721
Phone: (501) 315-6500
Fax: (501) 315-0006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | E2435 | Kentucky |
Profile Details
| NPI number | 1073540159 |
|---|---|
| LBN Legal business name | Johnson, Carroll Don |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1073540159 | NPPES |
| Arkansas | MEDICAID | 1424420001 | |
| Arkansas | Other | 5L735 |
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