Johnson, James Robert

Johnson, James Robert is an individual health care provider with primary practice located at 406 S 30Th Ave Ste 202, Yakima WA 98902-3713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, James Robert can be contacted via phone (509) 972-1051.

Contact Information

Primary practice address
406 S 30Th Ave Ste 202 Yakima WA 98902-3713
Phone: (509) 972-1051
Fax: (509) 972-4166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30001499 Washington

Profile Details

NPI number 1346259843
LBN Legal business name Johnson, James Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346259843 NPPES
Washington MEDICAID 9612474

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