Johnson, Roy Lee

Johnson, Roy Lee is an individual health care provider with primary practice located at 4881 Sugar Maple Dr , Wright Patterson Afb OH 45433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Roy Lee can be contacted via phone (937) 257-0770.

Contact Information

Primary practice address
4881 Sugar Maple Dr Wright Patterson Afb OH 45433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.094004 Ohio

Profile Details

NPI number 1417168311
LBN Legal business name Johnson, Roy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated May 5th, 2020 - about 4 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 1417168311 NPPES
Ohio MEDICAID 2987111

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