Johnson, Ray W.
Johnson, Ray W. is an individual health care provider with primary practice located at 830 Ainsworth Dr , Prescott AZ 86301-1630. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Johnson, Ray W. can be contacted via phone (928) 777-5800.Contact Information
Primary practice address
830 Ainsworth Dr
Prescott AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | AZ29683 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | AZ29683 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | AZ29683 | Arizona |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | AZ29683 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 29683 | Arizona |
Profile Details
| NPI number | 1629099072 |
|---|---|
| LBN Legal business name | Johnson, Ray W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629099072 | NPPES |
| Arizona | MEDICAID | 622284 |
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