Johnson, Darren Keith
Johnson, Darren Keith is an sole proprietor health care provider with primary practice located at 3015 Highway 95 Ste 106 , Bullhead City AZ 86442-4334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Johnson, Darren Keith can be contacted via phone (928) 201-0881.Contact Information
Primary practice address
3015 Highway 95 Ste 106
Bullhead City AZ 86442-4334
Phone: (928) 201-0881
Fax: (928) 763-2230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | AP11331 | Arizona |
Profile Details
| NPI number | 1205328382 |
|---|---|
| LBN Legal business name | Johnson, Darren Keith |
| Credentials | ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2018 |
| Last updated | Jun 30th, 2022 - about 2 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 | 1205328382 | NPPES |
| Arizona | MEDICAID | 400262 |
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