Johnson, Blake

Johnson, Blake is an individual health care provider with primary practice located at 804 22Nd Ave , Kearney NE 68845-2206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Blake can be contacted via phone (308) 455-3600.

Contact Information

Primary practice address
804 22Nd Ave Kearney NE 68845-2206
Phone: (308) 455-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1659889368
LBN Legal business name Johnson, Blake
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2018
Last updated Jan 16th, 2018 - about 8 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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