Johnson, Larry Clinton
Johnson, Larry Clinton is an individual health care provider with primary practice located at 220 South Woodbine Rd , Saint Joseph MO 64506-3649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Larry Clinton can be contacted via phone (816) 676-1300.Contact Information
Primary practice address
220 South Woodbine Rd
Saint Joseph MO 64506-3649
Phone: (816) 676-1300
Fax: (816) 676-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 099739 | Missouri |
Profile Details
| NPI number | 1346324902 |
|---|---|
| LBN Legal business name | Johnson, Larry Clinton |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Mar 10th, 2009 - about 16 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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