Reginald Deon Johnson

Driver · Glen Carbon, IL

Individual Active NPI

NPI number 1356029482

Practice location

3 Quail Hollow Ct Apt a
Glen Carbon, IL 62034-2920
Phone
(618) 954-5885

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NPI record

NPI
1356029482
Entity type
Individual (Type 1)
Enumeration date
July 10, 2023
Last updated
July 10, 2023
Certified
July 8, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X T980502029 MO

About Reginald Johnson

Reginald Deon Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 3 Quail Hollow Ct Apt a, Glen Carbon, IL 62034-2920. The NPI number 1356029482 was assigned on July 10, 2023 and the record was last updated on July 10, 2023.

Reginald Johnson lists a license in the registry: #T980502029 (MO) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Reginald Deon Johnson?

The NPI number is 1356029482.

What is the phone number of Reginald Johnson?

The phone number listed for the practice location is (618) 954-5885.

Where is Reginald Johnson located?

3 Quail Hollow Ct Apt a, Glen Carbon, IL 62034-2920.

What is the taxonomy code for Reginald Johnson?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.