Johnson, Joe Stanley

Johnson, Joe Stanley is an sole proprietor health care provider with primary practice located at 805 N Main St , Cleburne TX 76033-3816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Joe Stanley can be contacted via phone (817) 202-3976.

Contact Information

Primary practice address
805 N Main St Cleburne TX 76033-3816
Fax: (817) 202-3978
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4434 Texas

Profile Details

NPI number 1801893474
LBN Legal business name Johnson, Joe Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated May 9th, 2024 - about 6 months 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 1801893474 NPPES
Texas MEDICAID 126888003

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