Johnson, Charles Douglas
Johnson, Charles Douglas is an sole proprietor health care provider with primary practice located at Escuela De Medicina Ppmi Box 29134 Edif. Principal Rcm Centro Medico Rp, Rio Piedras PR 00935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Charles Douglas can be contacted via phone (787) 751-6034.Contact Information
Primary practice address
Escuela De Medicina Ppmi Box 29134 Edif. Principal Rcm Centro Medico Rp
Rio Piedras PR 00935
Phone: (787) 751-6034
Fax: (787) 274-8156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 3122 | Puerto Rico |
Profile Details
| NPI number | 1518012715 |
|---|---|
| LBN Legal business name | Johnson, Charles Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518012715 | NPPES |
| Puerto Rico | Other | 3122 | LICENCE |
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