Johnson, Greg Anthony
Johnson, Greg Anthony is an individual health care provider with primary practice located at 2200 Fort Roots Dr , North Little Rock AR 72114-1709. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Johnson, Greg Anthony can be contacted via phone (501) 257-1610.Contact Information
Primary practice address
2200 Fort Roots Dr
North Little Rock AR 72114-1709
Phone: (501) 257-1610
Fax: (501) 257-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | OP00095 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | OP00095 | Arkansas |
Profile Details
| NPI number | 1699928432 |
|---|---|
| LBN Legal business name | Johnson, Greg Anthony |
| Credentials | Certified Orthotist (CO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2008 |
| Last updated | Oct 24th, 2008 - about 16 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 | 1699928432 | NPPES |
| Other | CO004206 | AMERICAN BOARD OF CERTIFICATION |
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