Johnson, Larry E.

Johnson, Larry E. is an sole proprietor health care provider with primary practice located at 2200 Fort Roots Dr Va Geriatrics Service 94/Nlr, North Little Rock AR 72114-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Johnson, Larry E. can be contacted via phone (501) 257-2668.

Contact Information

Primary practice address
2200 Fort Roots Dr Va Geriatrics Service 94/Nlr North Little Rock AR 72114-1709
Phone: (501) 257-2668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X E-1972 Arkansas

Profile Details

NPI number 1942216841
LBN Legal business name Johnson, Larry E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Apr 8th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942216841 NPPES
Arkansas Other 5L008 PROVIDER NUMBER

Popular Providers