Johansen, Robert W

Johansen, Robert W is an individual health care provider with primary practice located at 201 State St Hamot Faculty Specialists, Erie PA 16550-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johansen, Robert W can be contacted via phone (814) 877-4922.

Contact Information

Primary practice address
201 State St Hamot Faculty Specialists Erie PA 16550-0002
Phone: (814) 877-4922
Fax: (814) 877-3622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD013856E Pennsylvania

Profile Details

NPI number 1528056512
LBN Legal business name Johansen, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 22nd, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528056512 NPPES
Pennsylvania MEDICAID 0006028030005
Pennsylvania Other 044058
Pennsylvania Other 110694
Pennsylvania Other P00170489

Popular Providers