Johnson, Paul E

Johnson, Paul E is an individual health care provider with primary practice located at 1397 Weimer Rd , Taos NM 87571-6253. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Johnson, Paul E can be contacted via phone (575) 758-8883.

Contact Information

Primary practice address
1397 Weimer Rd Taos NM 87571-6253
Phone: (575) 758-8883
Fax: (303) 468-1394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20020304 New Mexico
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD2002-0304 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2002-0304 New Mexico

Profile Details

NPI number 1750324232
LBN Legal business name Johnson, Paul E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 30th, 2019 - about 5 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 1750324232 NPPES
New Mexico MEDICAID 82923884

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