Johnson, Pamela Carol

Johnson, Pamela Carol is an individual health care provider with primary practice located at 3742 10Th St Ne , Washington DC 20017-1820. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Pamela Carol can be contacted via phone (202) 269-0358.

Contact Information

Primary practice address
3742 10Th St Ne Washington DC 20017-1820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101237027 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D44855 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101237027 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD047674 District of Columbia

Profile Details

NPI number 1104878065
LBN Legal business name Johnson, Pamela Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 17th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104878065 NPPES
Virginia Other P00246395 RAILROAD MEDICARE
Virginia MEDICAID 010150302 RAILROAD MEDICARE
Virginia MEDICAID 1104878065 RAILROAD MEDICARE

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