Johnson, Gary A

Johnson, Gary A is an individual health care provider with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Johnson, Gary A can be contacted via phone (309) 243-3000.

Contact Information

Primary practice address
8940 N Wood Sage Rd Peoria IL 61615-7822
Phone: (309) 243-3000
Fax: (309) 243-3000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 18538 Oklahoma
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 04-34519 Kansas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2012029926 Missouri
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036.12058 Illinois

Profile Details

NPI number 1083682660
LBN Legal business name Johnson, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 10th, 2019 - about 6 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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