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
Phone: (479) 238-1222
Fax: (479) 238-1229
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609802545 | NPPES |
Oklahoma | MEDICAID | 100251340B | |
Oklahoma | MEDICAID | 124617003 | |
Oklahoma | MEDICAID | 1609802545 |
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