Johnson, Clifford G

Johnson, Clifford G is an individual health care provider with primary practice located at 6046 Whipple Ave Nw , North Canton OH 44720-7616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Clifford G can be contacted via phone (330) 433-1200.

Contact Information

Primary practice address
6046 Whipple Ave Nw North Canton OH 44720-7616
Phone: (330) 433-1200
Fax: (330) 433-1666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35051310 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 35051310 Ohio

Profile Details

NPI number 1538137542
LBN Legal business name Johnson, Clifford G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 16th, 2012 - about 12 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 1538137542 NPPES
Ohio MEDICAID 0669281

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