Johnston, Dale E

Johnston, Dale E is an individual health care provider with primary practice located at 500 S University Ave Suite 101, Little Rock AR 72205-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnston, Dale E can be contacted via phone (501) 664-3914.

Contact Information

Primary practice address
500 S University Ave Suite 101 Little Rock AR 72205-5302
Phone: (501) 664-3914
Fax: (501) 664-5246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N6357 Arkansas

Profile Details

NPI number 1912994369
LBN Legal business name Johnston, Dale E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Dec 7th, 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 1912994369 NPPES
Arkansas MEDICAID 109762001

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