Johnston, Johnny

Johnston, Johnny is an individual health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnston, Johnny can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37489 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29774 Oklahoma

Profile Details

NPI number 1215967856
LBN Legal business name Johnston, Johnny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 2nd, 2013 - about 11 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 1215967856 NPPES
Oklahoma MEDICAID 200484430A
Oklahoma MEDICAID 0278374

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