Johnson, Stan Michael
Johnson, Stan Michael is an individual health care provider with primary practice located at 387 Town Mountain Rd Ste 202, Pikeville KY 41501-1640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, Stan Michael can be contacted via phone (606) 437-1008.Contact Information
Primary practice address
387 Town Mountain Rd Ste 202
Pikeville KY 41501-1640
Phone: (606) 437-1008
Fax: (606) 437-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39306 | Kentucky |
Profile Details
| NPI number | 1184610461 |
|---|---|
| LBN Legal business name | Johnson, Stan Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184610461 | NPPES |
| Kentucky | MEDICAID | 64099344 |
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