Johnson, Herbert Elton
Johnson, Herbert Elton is an individual health care provider with primary practice located at 5881 W 16Th St Suite D, Greeley CO 80634-2910. 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, Herbert Elton can be contacted via phone (970) 353-1551.Contact Information
Primary practice address
5881 W 16Th St Suite D
Greeley CO 80634-2910
Phone: (970) 353-1551
Fax: (970) 350-2478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 374 | Colorado |
Profile Details
| NPI number | 1245238716 |
|---|---|
| LBN Legal business name | Johnson, Herbert Elton |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245238716 | NPPES |
| Colorado | MEDICAID | 02706229 |
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