Stewart, Johnny Creed
Stewart, Johnny Creed is an individual health care provider with primary practice located at 815 Pecan Grove Rd E , Sherman TX 75090-1768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Stewart, Johnny Creed can be contacted via phone (903) 892-2126.Contact Information
Primary practice address
815 Pecan Grove Rd E
Sherman TX 75090-1768
Phone: (903) 892-2126
Fax: (903) 892-2129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | L3843 | Texas |
Profile Details
| NPI number | 1730157439 |
|---|---|
| LBN Legal business name | Stewart, Johnny Creed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 26th, 2017 - about 7 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 | 1730157439 | NPPES |
| Texas | MEDICAID | 151083601 |
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