Charles Johnson Dpm

LBN: Charles Johnson Dpm
Charles Johnson Dpm is an health care organization with primary practice located at 10244 W 7 Mile Rd , Detroit MI 48221-1904. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Charles Johnson Dpm can be contacted via phone (313) 862-5800, or through Johnson, Charles via phone (313) 862-5800.

Contact Information

Primary practice address
10244 W 7 Mile Rd Detroit MI 48221-1904
Phone: (313) 862-5800
Fax: (313) 862-2865
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Charles Doctor of Podiatric Medicine (DPM)
Phone: (313) 862-5800

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CJ001211 Michigan

Profile Details

NPI number 1760531628
LBN Legal business name Charles Johnson Dpm
DBA Doing business as
Authorized official Johnson, Charles Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Nov 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760531628 NPPES
Michigan MEDICAID 4866541

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