Johanson, Paxton Mckeown
Johanson, Paxton Mckeown is an individual health care provider with primary practice located at 833 Princeton Ave Sw 200A, Birmingham AL 35211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johanson, Paxton Mckeown can be contacted via phone (205) 786-2776.Contact Information
Primary practice address
833 Princeton Ave Sw 200A
Birmingham AL 35211
Phone: (205) 786-2776
Fax: (205) 786-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9102616 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-469 | Alabama |
Profile Details
| NPI number | 1588627376 |
|---|---|
| LBN Legal business name | Johanson, Paxton Mckeown |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Dec 3rd, 2014 - about 10 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 | 1588627376 | NPPES |
| Florida | MEDICAID | 291696700 |
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