Johnson, Clifford
Johnson, Clifford is an individual health care provider with primary practice located at 1802 S. Mattis Ave. , Champaign IL 61821-5923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Johnson, Clifford can be contacted via phone (217) 383-3260.Contact Information
Primary practice address
1802 S. Mattis Ave.
Champaign IL 61821-5923
Phone: (217) 383-3260
Fax: (217) 383-4459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036102230 | Illinois |
Profile Details
| NPI number | 1578585725 |
|---|---|
| LBN Legal business name | Johnson, Clifford |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | May 26th, 2015 - about 9 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 | 1578585725 | NPPES |
| Illinois | Other | 0533210001 | DMERC # |
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