Johnson, Christopher L

Johnson, Christopher L is an individual health care provider with primary practice located at 1050 W 10Th St , Rolla MO 65401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Johnson, Christopher L can be contacted via phone (573) 458-3402.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401
Phone: (573) 458-3402
Fax: (573) 426-6247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000803 Missouri

Profile Details

NPI number 1154337202
LBN Legal business name Johnson, Christopher L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 21st, 2019 - about 6 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 1154337202 NPPES
Missouri MEDICAID 30531900
Missouri MEDICAID 365905405
Missouri MEDICAID 305351926
Missouri MEDICAID 305351918
Missouri MEDICAID 365905413

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