Allen-Johnson, Charmaine R
Allen-Johnson, Charmaine R is an sole proprietor health care provider with primary practice located at 619 Diagonal St , Clarkston WA 99403-2041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen-Johnson, Charmaine R can be contacted via phone (509) 758-9003.Contact Information
Primary practice address
619 Diagonal St
Clarkston WA 99403-2041
Phone: (509) 758-9003
Fax: (509) 758-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP3005439 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP451A | Idaho |
Profile Details
| NPI number | 1235259748 |
|---|---|
| LBN Legal business name | Allen-Johnson, Charmaine R |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 26th, 2010 - about 14 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 | 1235259748 | NPPES |
| Washington | MEDICAID | 1786607 |
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