Johanos, Andrew Mark

Johanos, Andrew Mark is an individual health care provider with primary practice located at 1950 Mountain View Ave , Longmont CO 80501-3129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johanos, Andrew Mark can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1950 Mountain View Ave Longmont CO 80501-3129
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30964 Colorado

Profile Details

NPI number 1891771309
LBN Legal business name Johanos, Andrew Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Feb 28th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891771309 NPPES
Colorado MEDICAID 01309640
Colorado Other 930084880

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