Sandra Lynn Johnson in Stigler - Physician Assistant

Sandra Lynn Johnson - NPI 1215043120

Sandra Lynn Johnson is a Physician Assistant in Stigler, Oklahoma. Sandra Lynn Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sandra Lynn Johnson is 1215043120. The last update date is 2008-08-08.

Sandra Lynn Johnson's current location address is 401 Nw H St, Stigler, Oklahoma. You can contact this provider via phone number 9189675032 and fax number 9189675032. The mailing address for Sandra Lynn Johnson is 401 Nw H St, Stigler, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Lynn Johnson
Address 401 Nw H St, Stigler, Oklahoma
Phone Number 9189675032
Fax Number 9189675032
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1215043120
Provider Enumeration Date 2006-08-22
Last Updated Date 2008-08-08

Provider Mailing Address Detail

Address 401 Nw H St
City Stigler
State Oklahoma (OK)
Post Code 744621625
Phone Number 9189675032
Fax Number 9189675032

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1293
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200130700A OK --

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FAQs about Sandra Lynn Johnson

What is the unique identifier code issued to Sandra Lynn Johnson by the Centers for Medicare & Medicaid Services (CMS)?

The Sandra Lynn Johnson has been assigned the NPI (National Provider Identifier) 1215043120. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Sandra Lynn Johnson located?

The Sandra Lynn Johnson is located at 401 Nw H St, Stigler, OK 744621625.

What is the Sandra Lynn Johnson's specialty and taxonomy code?

The Sandra Lynn Johnson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Sandra Lynn Johnson's 1215043120 issued?

The Sandra Lynn Johnson's 1215043120 was issued on 2006-08-22.

On what date did the Centers for Medicare & Medicaid Services issue the 1215043120 to Sandra Lynn Johnson?

The Sandra Lynn Johnson received its 1215043120 assignment from the Centers for Medicare & Medicaid Services on 2006-08-22.

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