Johnson, Cleveland Eric

Johnson, Cleveland Eric is an individual health care provider with primary practice located at 424 S 13Th Ave , Laurel MS 39440-4345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Cleveland Eric can be contacted via phone (601) 649-5990.

Contact Information

Primary practice address
424 S 13Th Ave Laurel MS 39440-4345
Phone: (601) 649-5990
Fax: (601) 425-7510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 05931 Mississippi

Profile Details

NPI number 1497724926
LBN Legal business name Johnson, Cleveland Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497724926 NPPES
Mississippi MEDICAID 00012410

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