Johansen, Kaj

Johansen, Kaj is an individual health care provider with primary practice located at 600 Broadway Ste 112 , Seattle WA 98122-5381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Johansen, Kaj can be contacted via phone (206) 420-3119.

Contact Information

Primary practice address
600 Broadway Ste 112 Seattle WA 98122-5381
Fax: (206) 453-5912
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD00016486 Washington

Profile Details

NPI number 1366491045
LBN Legal business name Johansen, Kaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated May 3rd, 2019 - about 5 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 1366491045 NPPES
Washington MEDICAID 8400103

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