Johnson, Wayne William
Johnson, Wayne William is an individual health care provider with primary practice located at 799 E Hampden Ave #400, Englewood CO 80113-2700. 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, Wayne William can be contacted via phone (303) 789-2663.Contact Information
Primary practice address
799 E Hampden Ave #400
Englewood CO 80113-2700
Phone: (303) 789-2663
Fax: (303) 788-4871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 243 | Colorado |
Profile Details
| NPI number | 1982945788 |
|---|---|
| LBN Legal business name | Johnson, Wayne William |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2013 |
| Last updated | Jan 13th, 2022 - about 4 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 | 1982945788 | NPPES |
| Kansas | MEDICAID | 201076740A | |
| Kansas | MEDICAID | 82603219 |
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