Johnson, Timothy A
Johnson, Timothy A is an individual health care provider with primary practice located at 2220 Canterbury Dr , Hays KS 67601-2370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, Timothy A can be contacted via phone (785) 628-8300.Contact Information
Primary practice address
2220 Canterbury Dr
Hays KS 67601-2370
Phone: (785) 628-8300
Fax: (785) 623-4634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 54371 | Kansas |
Profile Details
| NPI number | 1881633550 |
|---|---|
| LBN Legal business name | Johnson, Timothy A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jan 21st, 2014 - about 12 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 | 1881633550 | NPPES |
| Kansas | MEDICAID | 100276330A |
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