Johnson, Robert C

Johnson, Robert C is an individual health care provider with primary practice located at 1005 Broadway St , Quincy IL 62301-2834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Johnson, Robert C can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
1005 Broadway St Quincy IL 62301-2834
Phone: (217) 223-8400
Fax: (217) 223-7327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 102829 Missouri
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036141870 Illinois

Profile Details

NPI number 1053308825
LBN Legal business name Johnson, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Nov 27th, 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 1053308825 NPPES
Missouri MEDICAID 206911414
Missouri Other 19960025

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