Paine, Johnny Ross
Paine, Johnny Ross is an sole proprietor health care provider with primary practice located at 15 Silver Oak Dr , Searcy AR 72143-4584. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Paine, Johnny Ross can be contacted via phone (972) 533-1767.Contact Information
Primary practice address
15 Silver Oak Dr
Searcy AR 72143-4584
Phone: (972) 533-1767
Fax: (501) 279-1217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L4621 | Texas |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 3902 | Oklahoma |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R-3454 | Arkansas |
Profile Details
| NPI number | 1295708428 |
|---|---|
| LBN Legal business name | Paine, Johnny Ross |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Feb 16th, 2024 - about last year |
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 | 1295708428 | NPPES |
| Texas | MEDICAID | 197838902 | |
| Texas | MEDICAID | 1203902 | |
| Texas | MEDICAID | 103756003 | |
| Texas | MEDICAID | 197838901 |
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