Johnson, Chris Douglas

Johnson, Chris Douglas is an individual health care provider with primary practice located at 1100 9Th Ave Ms:X6-Ort, Seattle WA 98101-2756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Chris Douglas can be contacted via phone (206) 223-7530.

Contact Information

Primary practice address
1100 9Th Ave Ms:X6-Ort Seattle WA 98101-2756
Phone: (206) 223-7530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10046 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60468333 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2120-023 Wisconsin

Profile Details

NPI number 1992753875
LBN Legal business name Johnson, Chris Douglas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 1st, 2016 - about 10 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 1992753875 NPPES
Wisconsin MEDICAID 1992753875
Wisconsin MEDICAID 2284707000

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