Johansen, Collin

Johansen, Collin is an sole proprietor health care provider with primary practice located at 4101 Farenholt Ave Bldg 14 , San Diego CA 92134-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is his primary health care specialty. Johansen, Collin can be contacted via phone (469) 570-8106.

Contact Information

Primary practice address
4101 Farenholt Ave Bldg 14 San Diego CA 92134-0001
Phone: (469) 570-8106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1396389334
LBN Legal business name Johansen, Collin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2019
Last updated Nov 2nd, 2019 - about 6 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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