Johnson, Richard Eric

Johnson, Richard Eric is an individual health care provider with primary practice located at 3401 W Gore Blvd Department Of Anesthesiology, Lawton OK 73502-0129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Richard Eric can be contacted via phone (580) 355-8620.

Contact Information

Primary practice address
3401 W Gore Blvd Department Of Anesthesiology Lawton OK 73502-0129
Fax: (580) 536-2292
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20908 Oklahoma

Profile Details

NPI number 1477546042
LBN Legal business name Johnson, Richard Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477546042 NPPES
Oklahoma MEDICAID 100003940A

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