Johnson, Garry A

Johnson, Garry A is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65201-5276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Garry A can be contacted via phone (573) 882-2568.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65201-5276
Phone: (573) 882-2568
Fax: (573) 882-2226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R6F64 Missouri

Profile Details

NPI number 1144285412
LBN Legal business name Johnson, Garry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 13th, 2014 - about 10 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 1144285412 NPPES
Missouri Other 127254 BLUE SHIELD/BLUE CHOICE
Missouri Other 194834 BLUE SHIELD/BLUE CHOICE
Missouri Other 2001130 BLUE SHIELD/BLUE CHOICE
Missouri MEDICAID 202461554 BLUE SHIELD/BLUE CHOICE

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