Johnson, Charles E

Johnson, Charles E is an individual health care provider with primary practice located at 1501 E Calvada Blvd , Pahrump NV 89048-5807. 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, Charles E can be contacted via phone (775) 727-5509.

Contact Information

Primary practice address
1501 E Calvada Blvd Pahrump NV 89048-5807
Phone: (775) 727-5509
Fax: (775) 727-5696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-C0149 Nevada

Profile Details

NPI number 1124090949
LBN Legal business name Johnson, Charles E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 25th, 2012 - about 14 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 1124090949 NPPES
Nevada Other P00865044 RAILROAD MEDICARE
Nevada MEDICAID 1124090949 RAILROAD MEDICARE

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