Johnston, Alan Charles

Johnston, Alan Charles is an sole proprietor health care provider with primary practice located at 1300 Braden St , Jacksonville AR 72076-3719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnston, Alan Charles can be contacted via phone (501) 985-5900.

Contact Information

Primary practice address
1300 Braden St Jacksonville AR 72076-3719
Phone: (501) 985-5900
Fax: (501) 985-6016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E2645 Arkansas

Profile Details

NPI number 1679579650
LBN Legal business name Johnston, Alan Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Oct 29th, 2008 - about 16 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 1679579650 NPPES
Arkansas MEDICAID 143719001

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