National Provider Identifier Database

C MICHAEL JOHNSON DOINC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

C. MICHAEL JOHNSON, D.O,INC.
802 S JACKSON AVE
SUITE 110
TULSA, OK74127-9015
Phone: 918-587-2389
Fax: 918-587-4389
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for C. MICHAEL JOHNSON, D.O,INC.

NPI Number 1679746895
Legal business name
LBN
C. MICHAEL JOHNSON, D.O,INC.
Authorized official SUSIE MONROE - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/09/2008
Last updated 11/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 1716
  • OK Medicaid: 100088070 A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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