Johnson, Gary Lynn
Johnson, Gary Lynn is an individual health care provider with primary practice located at 610 Chestnut St , South Charleston WV 25309-1251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Gary Lynn can be contacted via phone (304) 766-7515.Contact Information
Primary practice address
610 Chestnut St
South Charleston WV 25309-1251
Phone: (304) 766-7515
Fax: (304) 766-7566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 01092 | West Virginia |
Profile Details
| NPI number | 1336116003 |
|---|---|
| LBN Legal business name | Johnson, Gary Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Dec 17th, 2007 - about 17 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 | 1336116003 | NPPES |
| West Virginia | Other | 1071247 | WV DWC |
| West Virginia | Other | 01092 | WV DWC |
Popular Providers
-
Hess, Kimberly
4605 Maccorkle Ave Sw , South Charleston WV 25309-1311 -
Epperly, Alexander Ryan
4815 Kanawha Ave Sw , South Charleston WV 25309-1207 -
Beeson, Natalie R
401 Division St Ste 306 , South Charleston WV 25309-1455 -
Burdette, Wanda G
4605 Maccorkle Ave Sw , South Charleston WV 25309-1311 -
Elswick, Tasha Marie
509 2Nd Ave , South Charleston WV 25303-1310 -
Rainey, Lori Jane
401 Division St Ste 306 , South Charleston WV 25309-1455 -
Terry, Alexa K
4605 Maccorkle Ave Sw , South Charleston WV 25309-1311 -
Porter, Gregory
707 Chestnut St , South Charleston WV 25309-2003