Johnson, Riley
Johnson, Riley is an sole proprietor health care provider with primary practice located at 209 Saint Louis Ave Ste 100 , Fort Worth TX 76104-1279. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Johnson, Riley can be contacted via phone (817) 294-0934.Contact Information
Primary practice address
209 Saint Louis Ave Ste 100
Fort Worth TX 76104-1279
Phone: (817) 294-0934
Fax: (817) 294-1488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | S5940 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | S5940 | Texas |
Profile Details
NPI number | 1366939779 |
---|---|
LBN Legal business name | Johnson, Riley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2018 |
Last updated | Jun 16th, 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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