Johnson, Cris Edward
Johnson, Cris Edward is an individual health care provider with primary practice located at 5130 Corporate Center Ct Se , Lacey WA 98503-5957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Cris Edward can be contacted via phone (360) 413-8600.Contact Information
Primary practice address
5130 Corporate Center Ct Se
Lacey WA 98503-5957
Phone: (360) 413-8600
Fax: (360) 413-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00035172 | Washington |
Profile Details
| NPI number | 1144390261 |
|---|---|
| LBN Legal business name | Johnson, Cris Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1144390261 | NPPES |
| Washington | MEDICAID | 8222796 | |
| Washington | Other | 1144390261 |
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