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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1992702583 | NPPES |
California | MEDICAID | 006320531 | |
California | MEDICAID | 006320532 |
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