Johnson, Richard S.

Johnson, Richard S. is an individual health care provider with primary practice located at 880 Madison Ave , Memphis TN 38103-3409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Johnson, Richard S. can be contacted via phone (901) 545-7222.

Contact Information

Primary practice address
880 Madison Ave Memphis TN 38103-3409
Phone: (901) 545-7222
Fax: (901) 545-8292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34014608 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 34014608 Ohio

Profile Details

NPI number 1740691765
LBN Legal business name Johnson, Richard S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740691765 NPPES
Ohio MEDICAID 0409720

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