Johnston, Brian S
Johnston, Brian S is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 310, Paducah KY 42003-7913. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Johnston, Brian S can be contacted via phone (270) 538-6200.Contact Information
Primary practice address
1532 Lone Oak Rd Suite 310
Paducah KY 42003-7913
Phone: (270) 538-6200
Fax: (270) 538-6220
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | PA813 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA813 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-001922 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA813 | Kentucky |
Profile Details
NPI number | 1871668525 |
---|---|
LBN Legal business name | Johnston, Brian S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2006 |
Last updated | Dec 4th, 2020 - about 4 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 | 1871668525 | NPPES |
Kentucky | MEDICAID | 7100200860 | |
Kentucky | Other | 112837 |
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