Johnson, Jamey L

Johnson, Jamey L is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5543. 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, Jamey L can be contacted via phone (541) 472-5110.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5543
Fax: (541) 472-7268
Website:

Health care specialties

Profile Details

NPI number 1306065552
LBN Legal business name Johnson, Jamey L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 28th, 2023 - about 2 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 1306065552 NPPES
Minnesota Other P00405200 MEDICARE RAILROAD
Minnesota MEDICAID 44379200 MEDICARE RAILROAD
Minnesota MEDICAID 307140000 MEDICARE RAILROAD
Minnesota MEDICAID 500683049 MEDICARE RAILROAD

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