Johnson, Germaine Richard
Johnson, Germaine Richard is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Johnson, Germaine Richard can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | MD60105377 | Washington |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | M-12248 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD208252 | Oregon |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-12248 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60105377 | Washington |
Profile Details
| NPI number | 1033220298 |
|---|---|
| LBN Legal business name | Johnson, Germaine Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 18th, 2022 - about 3 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 | 1033220298 | NPPES |
| Idaho | MEDICAID | 1033220298 | |
| Idaho | Other | 288918 | |
| Idaho | MEDICAID | 2006877 |
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