Johnson, Drew Carter
Johnson, Drew Carter is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, Drew Carter can be contacted via phone (719) 365-2001.Contact Information
Primary practice address
1400 E Boulder St
Colorado Springs CO 80909-5533
Phone: (719) 365-2001
Fax: (303) 306-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | DR.0053293 | Colorado |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0053293 | Colorado |
Profile Details
| NPI number | 1588879696 |
|---|---|
| LBN Legal business name | Johnson, Drew Carter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jun 25th, 2015 - about 11 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 | 1588879696 | NPPES |
| Colorado | Other | P01378301 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 98302272 | RAILROAD MEDICARE |
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