Johnson, Charles

Johnson, Charles is an individual health care provider with primary practice located at 949 Columbia St , Hudson NY 12534-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Charles can be contacted via phone (518) 828-7188.

Contact Information

Primary practice address
949 Columbia St Hudson NY 12534-2624
Phone: (518) 828-7188
Fax: (518) 828-5049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 217292 New York

Profile Details

NPI number 1164520391
LBN Legal business name Johnson, Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 17th, 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 1164520391 NPPES
New York MEDICAID 02103244

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