Johnson, Kristofer K
Johnson, Kristofer K is an sole proprietor health care provider with primary practice located at 12606 E Mission Ave , Spokane Valley WA 99216-3421. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Johnson, Kristofer K can be contacted via phone (509) 924-6650.Contact Information
Primary practice address
12606 E Mission Ave
Spokane Valley WA 99216-3421
Phone: (509) 924-6650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60049525 | Washington |
Profile Details
| NPI number | 1548411770 |
|---|---|
| LBN Legal business name | Johnson, Kristofer K |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Mar 10th, 2023 - about 3 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 | 1548411770 | NPPES |
| Washington | Other | PA60049525 | LICENSE |
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