Johnson, Craig Stephen
Johnson, Craig Stephen is an individual health care provider with primary practice located at 2448 E 81St St Suite 1100, Tulsa OK 74137-4250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Craig Stephen can be contacted via phone (918) 505-3400.Contact Information
Primary practice address
2448 E 81St St Suite 1100
Tulsa OK 74137-4250
Phone: (918) 505-3400
Fax: (918) 508-7070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16269 | Oklahoma |
Profile Details
| NPI number | 1780645531 |
|---|---|
| LBN Legal business name | Johnson, Craig Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Apr 13th, 2023 - about 2 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 | 1780645531 | NPPES |
| Oklahoma | MEDICAID | 100096300B |
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