Johnson, Keith Allan
Johnson, Keith Allan is an individual health care provider with primary practice located at 7055 Westbranch Hwy , Lewisburg PA 17837-6808. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Keith Allan can be contacted via phone (570) 524-4141.Contact Information
Primary practice address
7055 Westbranch Hwy
Lewisburg PA 17837-6808
Phone: (570) 524-4141
Fax: (570) 524-5218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA003170L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA003170L | Pennsylvania |
Profile Details
| NPI number | 1902829583 |
|---|---|
| LBN Legal business name | Johnson, Keith Allan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | May 20th, 2020 - about 4 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 | 1902829583 | NPPES |
| Pennsylvania | Other | 50012614 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | P00214218 | CAPITAL BLUE CROSS |
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