Johnson, Gregory J

Johnson, Gregory J is an individual health care provider with primary practice located at 2221 W Elm St , Rawlins WY 82301-0460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Johnson, Gregory J can be contacted via phone (307) 324-2221.

Contact Information

Primary practice address
2221 W Elm St Rawlins WY 82301-0460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 3772A Wyoming

Profile Details

NPI number 1467565754
LBN Legal business name Johnson, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Dec 22nd, 2011 - about 13 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 1467565754 NPPES
Wyoming MEDICAID 102833200
Wyoming Other 185872500
Wyoming Other 1399310
Wyoming MEDICAID 107205600

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