Johnson, Charlie R

Johnson, Charlie R is an sole proprietor health care provider with primary practice located at 2400 E 8Th St Ste A, National City CA 91950-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Charlie R can be contacted via phone (619) 884-6999.

Contact Information

Primary practice address
2400 E 8Th St Ste A National City CA 91950-2956
Phone: (619) 884-6999
Fax: (619) 482-0656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G32053 California

Profile Details

NPI number 1992702583
LBN Legal business name Johnson, Charlie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992702583 NPPES
California MEDICAID 006320531
California MEDICAID 006320532

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