Johnson, Charles Timothy
Johnson, Charles Timothy is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 100, Fort Collins CO 80528-3401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Johnson, Charles Timothy can be contacted via phone (970) 221-1000.Contact Information
Primary practice address
2121 E Harmony Rd Unit 100
Fort Collins CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 38097 | Colorado |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21237 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6279A | Wyoming |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 38097 | Colorado |
Profile Details
| NPI number | 1053317198 |
|---|---|
| LBN Legal business name | Johnson, Charles Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 12th, 2014 - about 10 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 | 1053317198 | NPPES |
| Wyoming | MEDICAID | 114449900 | |
| Wyoming | MEDICAID | 87201381 | |
| Wyoming | Other | P00970363 |
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