Johnson, Royal Gary

Johnson, Royal Gary is an individual health care provider with primary practice located at 944 W Kawailani St , Hilo HI 96720-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Johnson, Royal Gary can be contacted via phone (808) 959-9151.

Contact Information

Primary practice address
944 W Kawailani St Hilo HI 96720-3218
Fax: (808) 522-4345
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD-6183 Hawaii

Profile Details

NPI number 1659446037
LBN Legal business name Johnson, Royal Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 21st, 2022 - about 2 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 1659446037 NPPES
Hawaii MEDICAID 059564 01
Hawaii Other 6963444
Hawaii Other 0000079020

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