Johnson, Robert C.

Johnson, Robert C. is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 230, Springfield MO 65804-2201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Johnson, Robert C. can be contacted via phone (417) 820-7250.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 230 Springfield MO 65804-2201
Phone: (417) 820-7250
Fax: (417) 820-7255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005021461 Missouri
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2005021461 Missouri

Profile Details

NPI number 1356418479
LBN Legal business name Johnson, Robert C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 19th, 2013 - about 12 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 1356418479 NPPES
Missouri MEDICAID 207197807

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