Johnson, Ray

Johnson, Ray is an individual health care provider with primary practice located at 419 S Washington St Suite 102, Casper WY 82601-2951. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Ray can be contacted via phone (307) 577-4220.

Contact Information

Primary practice address
419 S Washington St Suite 102 Casper WY 82601-2951
Phone: (307) 577-4220
Fax: (307) 235-0931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 49 Wyoming

Profile Details

NPI number 1831185933
LBN Legal business name Johnson, Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1831185933 NPPES
Wyoming Other 307174 BLUE CROSS BLUE SHIELD

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