Johnson, Micah

Johnson, Micah is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 508, Pueblo CO 81003-2700. 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, Micah can be contacted via phone (719) 595-7040.

Contact Information

Primary practice address
1600 N Grand Ave Suite 508 Pueblo CO 81003-2700
Phone: (719) 595-7040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0003846 Colorado

Profile Details

NPI number 1326469248
LBN Legal business name Johnson, Micah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2013
Last updated Dec 19th, 2013 - about 13 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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