Johnson, Arlen Raliegh

Johnson, Arlen Raliegh is an individual health care provider with primary practice located at 616 6Th St , Bremerton WA 98337-1420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Johnson, Arlen Raliegh can be contacted via phone (360) 478-2366.

Contact Information

Primary practice address
616 6Th St Bremerton WA 98337-1420
Fax: (360) 373-2096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30000395 Washington

Profile Details

NPI number 1992780985
LBN Legal business name Johnson, Arlen Raliegh
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992780985 NPPES
Washington MEDICAID 9619255

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