Johnson, Debra A
Johnson, Debra A is an individual health care provider with primary practice located at 3920 Capitol Mall Dr Sw Ste 400, Olympia WA 98502-8700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Debra A can be contacted via phone (360) 705-1259.Contact Information
Primary practice address
3920 Capitol Mall Dr Sw Ste 400
Olympia WA 98502-8700
Phone: (360) 705-1259
Fax: (360) 705-2757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00037116 | Washington |
Profile Details
| NPI number | 1588653398 |
|---|---|
| LBN Legal business name | Johnson, Debra A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| 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 | 1588653398 | NPPES |
| Washington | MEDICAID | 8238925 |
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