Johnson, Patricia Gail

Johnson, Patricia Gail is an individual health care provider with primary practice located at 1001 E Bogard Rd , Wasilla AK 99654-7114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Patricia Gail can be contacted via phone (907) 373-2225.

Contact Information

Primary practice address
1001 E Bogard Rd Wasilla AK 99654-7114
Fax: (907) 376-9225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MEDO4994 Alaska

Profile Details

NPI number 1750441820
LBN Legal business name Johnson, Patricia Gail
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 9th, 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 1750441820 NPPES
Alaska MEDICAID 1014730

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