Johnson, Caryn
Johnson, Caryn is an individual health care provider with primary practice located at 3450 Ne Ralph Powell Rd , Lees Summit MO 64064-2361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Caryn can be contacted via phone (816) 404-2170.Contact Information
Primary practice address
3450 Ne Ralph Powell Rd
Lees Summit MO 64064-2361
Phone: (816) 404-2170
Fax: (816) 404-2748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2019019919 | Missouri |
Profile Details
| NPI number | 1548436645 |
|---|---|
| LBN Legal business name | Johnson, Caryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | Aug 28th, 2019 - about 5 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 | 1548436645 | NPPES |
| Missouri | MEDICAID | 1548436645 | |
| Missouri | MEDICAID | 730249710 |
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