Johnson, Ryan D

Johnson, Ryan D is an individual health care provider with primary practice located at 1201 W Frank Ave , Lufkin TX 75904-3357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, Ryan D can be contacted via phone (936) 639-3036.

Contact Information

Primary practice address
1201 W Frank Ave Lufkin TX 75904-3357
Phone: (936) 639-3036
Fax: (936) 639-3064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 048803 Texas

Profile Details

NPI number 1932118940
LBN Legal business name Johnson, Ryan D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Mar 5th, 2008 - about 17 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 1932118940 NPPES
Texas Other 85053U BCBS
Texas Other 82683U BCBS

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