Johnson, Robert G

Johnson, Robert G is an individual health care provider with primary practice located at 3603 Bienville Blvd Ste 103 , Ocean Springs MS 39564-5736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Johnson, Robert G can be contacted via phone (228) 762-3000.

Contact Information

Primary practice address
3603 Bienville Blvd Ste 103 Ocean Springs MS 39564-5736
Phone: (228) 762-3000
Fax: (228) 818-4151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1999138149 Missouri

Profile Details

NPI number 1114021722
LBN Legal business name Johnson, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 17th, 2022 - about 3 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 1114021722 NPPES
Mississippi MEDICAID 07084205

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