Johnsen, Stanley

Johnsen, Stanley is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 304, Phoenix AZ 85013-4419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Johnsen, Stanley can be contacted via phone (602) 406-3800.

Contact Information

Primary practice address
222 W Thomas Rd Suite 304 Phoenix AZ 85013-4419
Phone: (602) 406-3800
Fax: (602) 406-3810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 6324 Arizona

Profile Details

NPI number 1568576320
LBN Legal business name Johnsen, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568576320 NPPES
Arizona MEDICAID 412007

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