Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EZEKIEL GUY JOHNSON
Active Sole ProprietorBus · KLAMATH FALLS, OR
Registration Details
- NPI Number
- 1588114177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2016 (9.5389518630795 yrs)
- Last Updated
- Oct 7, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
5049 REGENCY DRKLAMATH FALLS, OR, 976039033Browse OR providers · Browse ZIP 97603
- Phone
- 5415398843
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Transportation Broker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.