Johnson, Charles S
Johnson, Charles S is an individual health care provider with primary practice located at 315 19Th St Se , Hickory NC 28602-4230. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Johnson, Charles S can be contacted via phone (828) 325-9849.Contact Information
Primary practice address
315 19Th St Se
Hickory NC 28602-4230
Phone: (828) 325-9849
Fax: (828) 325-9879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 200100712 | North Carolina |
Profile Details
| NPI number | 1285636076 |
|---|---|
| LBN Legal business name | Johnson, Charles S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jun 23rd, 2020 - about 4 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 | 1285636076 | NPPES |
| North Carolina | MEDICAID | 89136XW |
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