Johnson, Katherine Elizabeth

Johnson, Katherine Elizabeth is an sole proprietor health care provider with primary practice located at 2555 Phillips Field Rd , Fairbanks AK 99709-3933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Johnson, Katherine Elizabeth can be contacted via phone (907) 328-2920.

Contact Information

Primary practice address
2555 Phillips Field Rd Fairbanks AK 99709-3933
Phone: (907) 328-2920
Fax: (907) 456-2914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 6104 Alaska

Profile Details

NPI number 1891999272
LBN Legal business name Johnson, Katherine Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Apr 19th, 2021 - about 5 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 1891999272 NPPES
Alaska MEDICAID 1007264

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