Johnston, Keary J
Johnston, Keary J is an sole proprietor health care provider with primary practice located at 1434 Porter St , Fort Detrick MD 21702-9254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnston, Keary J can be contacted via phone (915) 227-9515.Contact Information
Primary practice address
1434 Porter St
Fort Detrick MD 21702-9254
Phone: (915) 227-9515
Fax: (915) 569-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 007117 | New York |
Profile Details
| NPI number | 1568508091 |
|---|---|
| LBN Legal business name | Johnston, Keary J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Aug 12th, 2011 - about 15 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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