Corderoe Edwin Johnson Sr.

Case Manager/Care Coordinator · Muskogee, OK

Individual Active NPI

NPI number 1922814979

Practice location

3619 W Broadway St
Muskogee, OK 74401-2140
Phone
(918) 913-7100

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NPI record

NPI
1922814979
Entity type
Individual (Type 1)
Enumeration date
December 5, 2024
Last updated
December 5, 2024
Certified
December 5, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Corderoe Johnson

Corderoe Edwin Johnson Sr. is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 3619 W Broadway St, Muskogee, OK 74401-2140. The NPI number 1922814979 was assigned on December 5, 2024 and the record was last updated on December 5, 2024.

Frequently asked questions

What is the NPI number of Corderoe Edwin Johnson Sr.?

The NPI number is 1922814979.

What is the phone number of Corderoe Johnson?

The phone number listed for the practice location is (918) 913-7100.

Where is Corderoe Johnson located?

3619 W Broadway St, Muskogee, OK 74401-2140.

What is the taxonomy code for Corderoe Johnson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

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.

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