Johansen, James R

Johansen, James R is an individual health care provider with primary practice located at 708 Mcbrayer Homestead Rd , Shelby NC 28152-9532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johansen, James R can be contacted via phone (704) 484-8123.

Contact Information

Primary practice address
708 Mcbrayer Homestead Rd Shelby NC 28152-9532
Phone: (704) 484-8123
Fax: (704) 434-7262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9600957 North Carolina

Profile Details

NPI number 1538166673
LBN Legal business name Johansen, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 2007 - about 17 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 1538166673 NPPES
North Carolina MEDICAID 8946700
North Carolina Other 46700

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