Johnson, Doyle Richard

Johnson, Doyle Richard is an individual health care provider with primary practice located at 500 S University Ave Suite 318, Little Rock AR 72205-5302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnson, Doyle Richard can be contacted via phone (501) 664-8000.

Contact Information

Primary practice address
500 S University Ave Suite 318 Little Rock AR 72205-5302
Phone: (501) 664-8000
Fax: (501) 664-5014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C4546 Arkansas

Profile Details

NPI number 1710967278
LBN Legal business name Johnson, Doyle Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710967278 NPPES
Arkansas MEDICAID 104706001

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