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
Fax: (970) 350-2478
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245238716 NPPES
Colorado MEDICAID 02706229

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