Johnson, Craig Arby

Johnson, Craig Arby is an individual health care provider with primary practice located at 912 Wallace Ave , Leitchfield KY 42754-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Craig Arby can be contacted via phone (270) 259-9316.

Contact Information

Primary practice address
912 Wallace Ave Leitchfield KY 42754-2404
Fax: (270) 259-6571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X KY23893 Kentucky

Profile Details

NPI number 1154360394
LBN Legal business name Johnson, Craig Arby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 1st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154360394 NPPES
Kentucky MEDICAID 64238934

Popular Providers