Johnson, Gregory Calvin

Johnson, Gregory Calvin is an individual health care provider with primary practice located at 2307 W Maple St Ste B , Port O Connor TX 77982-2205. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Johnson, Gregory Calvin can be contacted via phone (361) 983-2617.

Contact Information

Primary practice address
2307 W Maple St Ste B Port O Connor TX 77982-2205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1841961034
LBN Legal business name Johnson, Gregory Calvin
Credentials IDHS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 2021 - about 3 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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