Johnson, Timothy A

Johnson, Timothy A is an individual health care provider with primary practice located at 2220 Canterbury Dr , Hays KS 67601-2370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, Timothy A can be contacted via phone (785) 628-8300.

Contact Information

Primary practice address
2220 Canterbury Dr Hays KS 67601-2370
Phone: (785) 628-8300
Fax: (785) 623-4634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54371 Kansas

Profile Details

NPI number 1881633550
LBN Legal business name Johnson, Timothy A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 21st, 2014 - about 10 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 1881633550 NPPES
Kansas MEDICAID 100276330A

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