Johnson, Michael James

Johnson, Michael James is an sole proprietor health care provider with primary practice located at 1008 Minnequa Ave , Pueblo CO 81004-3733. 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, Michael James can be contacted via phone (719) 560-5656.

Contact Information

Primary practice address
1008 Minnequa Ave Pueblo CO 81004-3733
Phone: (719) 560-5656
Fax: (719) 560-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 595 Colorado

Profile Details

NPI number 1891714234
LBN Legal business name Johnson, Michael James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about last year

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 1891714234 NPPES
Colorado Other 970016858 RAILROAD MEDICARE
Colorado MEDICAID 07005952 RAILROAD MEDICARE

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