Johnson, Patrick Alan

Johnson, Patrick Alan is an individual health care provider with primary practice located at 1115 W Bay Dr Nw Suite 202, Olympia WA 98502-4658. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as his primary health care specialty. Johnson, Patrick Alan can be contacted via phone (360) 570-8010.

Contact Information

Primary practice address
1115 W Bay Dr Nw Suite 202 Olympia WA 98502-4658
Phone: (360) 570-8010
Fax: (360) 570-8009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DI60312524 Washington

Profile Details

NPI number 1225380629
LBN Legal business name Johnson, Patrick Alan
Credentials RD LD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Oct 9th, 2012 - about 13 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 1225380629 NPPES
Other DI60312524 WASHINGTON DIETITIAN LICENSURE

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