Johnson, Brian Christopher

Johnson, Brian Christopher is an individual health care provider with primary practice located at 109 Montgomery Dr , Anderson SC 29621-3333. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Brian Christopher can be contacted via phone (864) 224-5700.

Contact Information

Primary practice address
109 Montgomery Dr Anderson SC 29621-3333
Phone: (864) 224-5700
Fax: (864) 226-0680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 961 South Carolina

Profile Details

NPI number 1093727653
LBN Legal business name Johnson, Brian Christopher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 19th, 2016 - about 9 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 1093727653 NPPES
South Carolina Other 961 STATE LICENSE NUMBER
South Carolina MEDICAID 2251PA STATE LICENSE NUMBER
South Carolina Other P0161435 STATE LICENSE NUMBER

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