Johnson, Caitlin

Johnson, Caitlin is an individual health care provider with primary practice located at 4619 Kanawha Ave Sw , South Charleston WV 25309-1319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Johnson, Caitlin can be contacted via phone (304) 400-4545.

Contact Information

Primary practice address
4619 Kanawha Ave Sw South Charleston WV 25309-1319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 103650 West Virginia

Profile Details

NPI number 1477114221
LBN Legal business name Johnson, Caitlin
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 5 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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