Johnson, Darrel

Johnson, Darrel is an individual health care provider with primary practice located at 1200 S 7Th Ave Ste 2, Sioux Falls SD 57105-0998. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Johnson, Darrel can be contacted via phone (605) 336-2140.

Contact Information

Primary practice address
1200 S 7Th Ave Ste 2 Sioux Falls SD 57105-0998
Phone: (605) 336-2140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0266 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0266 South Dakota

Profile Details

NPI number 1255368882
LBN Legal business name Johnson, Darrel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 15th, 2010 - about 14 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 1255368882 NPPES
South Dakota MEDICAID 6826102

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