Johnson, Colton Ray

Johnson, Colton Ray is an individual health care provider with primary practice located at 325 S Ash St. , Nowata OK 74048-4628. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Johnson, Colton Ray can be contacted via phone (918) 273-7344.

Contact Information

Primary practice address
325 S Ash St. Nowata OK 74048-4628
Fax: (918) 999-0111
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1891389250
LBN Legal business name Johnson, Colton Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2021
Last updated Mar 30th, 2021 - about 4 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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