Johnson, Jeffrey S

Johnson, Jeffrey S is an individual health care provider with primary practice located at 2010 Active Way , Benton AR 72022-9267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Jeffrey S can be contacted via phone (501) 315-0984.

Contact Information

Primary practice address
2010 Active Way Benton AR 72022-9267
Phone: (501) 315-0984
Fax: (501) 847-1405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57-013137 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01011251395 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9348A Wyoming
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E10619 Arkansas

Profile Details

NPI number 1790952406
LBN Legal business name Johnson, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Jun 16th, 2018 - about 8 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 1790952406 NPPES
Arkansas MEDICAID 1790952406

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