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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477578185 | NPPES |
| Oklahoma | MEDICAID | 200003890B | |
| Oklahoma | Other | 7986387 |
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