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
Phone: (206) 420-3119
Fax: (206) 453-5912
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366491045 | NPPES |
| Washington | MEDICAID | 8400103 |
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