Johnson, Danny
Johnson, Danny is an individual health care provider with primary practice located at 7061 Grand Montecito Pkwy , Las Vegas NV 89149-0287. 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, Danny can be contacted via phone (702) 243-8500.Contact Information
Primary practice address
7061 Grand Montecito Pkwy
Las Vegas NV 89149-0287
Phone: (702) 243-8500
Fax: (702) 363-8753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA665 | Nevada |
Profile Details
| NPI number | 1235102500 |
|---|---|
| LBN Legal business name | Johnson, Danny |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jun 20th, 2024 - about last year |
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 | 1235102500 | NPPES |
| Nevada | MEDICAID | 3102514 | |
| Nevada | Other | 3102574 |
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