Johnson, Jordan S
Johnson, Jordan S is an individual health care provider with primary practice located at 9821 S May Ave Ste C , Oklahoma City OK 73159-7042. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Johnson, Jordan S can be contacted via phone (405) 691-0505.Contact Information
Primary practice address
9821 S May Ave Ste C
Oklahoma City OK 73159-7042
Phone: (405) 691-0505
Fax: (405) 691-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD.207583 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 32660 | Oklahoma |
Profile Details
| NPI number | 1851682470 |
|---|---|
| LBN Legal business name | Johnson, Jordan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2011 |
| Last updated | Feb 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851682470 | NPPES |
| Mississippi | MEDICAID | 04679764 | |
| Mississippi | MEDICAID | 2144120 |
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