Johnson, Wayne Anthony

Johnson, Wayne Anthony is an individual health care provider with primary practice located at 904 Sw 38Th St , Lawton OK 73505-7021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Wayne Anthony can be contacted via phone (580) 353-8600.

Contact Information

Primary practice address
904 Sw 38Th St Lawton OK 73505-7021
Phone: (580) 353-8600
Fax: (580) 353-8607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19138 Oklahoma

Profile Details

NPI number 1477578185
LBN Legal business name Johnson, Wayne Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 28th, 2011 - about 13 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 1477578185 NPPES
Oklahoma MEDICAID 200003890B
Oklahoma Other 7986387

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