Johnson, Alan

Johnson, Alan is an individual health care provider with primary practice located at 427 S Bernard St , Spokane WA 99204-2509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Alan can be contacted via phone (509) 456-0107.

Contact Information

Primary practice address
427 S Bernard St Spokane WA 99204-2509
Phone: (509) 456-0107
Fax: (509) 747-2635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00003366 Washington

Profile Details

NPI number 1851399679
LBN Legal business name Johnson, Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 8th, 2007 - about 17 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 1851399679 NPPES
Idaho Other 000010015440 ASURIS(REGENCE BS OF ID)
Idaho Other WA0690 ASURIS(REGENCE BS OF ID)
Idaho Other JO2217 ASURIS(REGENCE BS OF ID)
Idaho Other 115756 ASURIS(REGENCE BS OF ID)
Idaho MEDICAID 2022010 ASURIS(REGENCE BS OF ID)
Idaho Other 14870 ASURIS(REGENCE BS OF ID)
Idaho Other A023 ASURIS(REGENCE BS OF ID)

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