Johnson, Steven

Johnson, Steven is an sole proprietor health care provider with primary practice located at 13331 Fairway Ct , Siloam Springs AR 72761-9682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Steven can be contacted via phone (479) 238-1222.

Contact Information

Primary practice address
13331 Fairway Ct Siloam Springs AR 72761-9682
Fax: (479) 238-1229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3034 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4430 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000167443 Missouri

Profile Details

NPI number 1609802545
LBN Legal business name Johnson, Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Nov 8th, 2023 - 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 1609802545 NPPES
Oklahoma MEDICAID 100251340B
Oklahoma MEDICAID 124617003
Oklahoma MEDICAID 1609802545

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