Johnson, Kurt Samuel
Johnson, Kurt Samuel is an individual health care provider with primary practice located at 1000 E University Ave , Laramie WY 82071-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Kurt Samuel can be contacted via phone (307) 766-5071.Contact Information
Primary practice address
1000 E University Ave
Laramie WY 82071-2000
Phone: (307) 766-5071
Fax: (307) 761-9319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6832A | Wyoming |
Profile Details
| NPI number | 1124005988 |
|---|---|
| LBN Legal business name | Johnson, Kurt Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Sep 13th, 2023 - about last year |
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 | 1124005988 | NPPES |
| Wyoming | MEDICAID | 118192100 |
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