Johnson, Drew Carter

Johnson, Drew Carter is an individual health care provider with primary practice located at 1400 E Boulder St , Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Johnson, Drew Carter can be contacted via phone (719) 365-2001.

Contact Information

Primary practice address
1400 E Boulder St Colorado Springs CO 80909-5533
Phone: (719) 365-2001
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X DR.0053293 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0053293 Colorado

Profile Details

NPI number 1588879696
LBN Legal business name Johnson, Drew Carter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jun 25th, 2015 - about 9 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 1588879696 NPPES
Colorado Other P01378301 RAILROAD MEDICARE
Colorado MEDICAID 98302272 RAILROAD MEDICARE

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