Charles M Johnson Podiatrist Pc

LBN: Charles M Johnson Podiatrist Pc
Charles M Johnson Podiatrist Pc is an health care organization with primary practice located at 10244 W 7 Mile Rd , Detroit MI 48221-1904. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Charles M Johnson Podiatrist Pc can be contacted via phone (313) 862-5800, or through Johnson, Charles M. via phone (313) 862-5800.

Contact Information

Primary practice address
10244 W 7 Mile Rd Detroit MI 48221-1904
Fax: (313) 862-2865
Website:
Authorized official contact:
Name: Johnson, Charles M. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CJ001211 Michigan

Profile Details

NPI number 1902955560
LBN Legal business name Charles M Johnson Podiatrist Pc
DBA Doing business as
Authorized official Johnson, Charles M. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated May 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902955560 NPPES
Michigan Other 0P47360 MEDICARE GROUP
Michigan MEDICAID 4866541 MEDICARE GROUP
Michigan Other 480H232610 MEDICARE GROUP

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