Johnson, Cory T
Johnson, Cory T is an individual health care provider with primary practice located at 2301 Mountain View Blvd Suite A, Klamath Falls OR 97601-1137. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Cory T can be contacted via phone (541) 884-6374.Contact Information
Primary practice address
2301 Mountain View Blvd Suite A
Klamath Falls OR 97601-1137
Phone: (541) 884-6374
Fax: (541) 884-6731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD24075 | Oregon |
Profile Details
| NPI number | 1851407282 |
|---|---|
| LBN Legal business name | Johnson, Cory T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Nov 30th, 2011 - about 14 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 | 1851407282 | NPPES |
| Oregon | MEDICAID | 286362 |
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