Johnson, Carl E

Johnson, Carl E is an sole proprietor health care provider with primary practice located at 24 Las Praderas Dr , San Luis Obispo CA 93401-7410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Johnson, Carl E can be contacted via phone (805) 544-7832.

Contact Information

Primary practice address
24 Las Praderas Dr San Luis Obispo CA 93401-7410
Phone: (805) 544-7832
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A33572 California

Profile Details

NPI number 1487679684
LBN Legal business name Johnson, Carl E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487679684 NPPES
California Other 00A335721 BLUE SHIELD OF CALIFORNIA
California MEDICAID 00A335720 BLUE SHIELD OF CALIFORNIA

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