Johnson, Carl Starck
Johnson, Carl Starck is an individual health care provider with primary practice located at 11960 Lioness Way Suite 190, Parker CO 80134-5640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Carl Starck can be contacted via phone (303) 794-1111.Contact Information
Primary practice address
11960 Lioness Way Suite 190
Parker CO 80134-5640
Phone: (303) 794-1111
Fax: (303) 347-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 44663 | Colorado |
Profile Details
| NPI number | 1851320485 |
|---|---|
| LBN Legal business name | Johnson, Carl Starck |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851320485 | NPPES |
| Colorado | MEDICAID | 56402279 |
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