Craig Johnson in Berlin - Medical

Craig Johnson - NPI 1306021753

Craig Johnson is a Medical in Berlin, Maryland. Craig Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Craig Johnson is 1306021753. The last update date is 2011-10-03.

Craig Johnson's current location address is 10026 Old Ocean City Blvd, Berlin, Maryland. You can contact this provider via phone number 4106410430 and fax number 4106413871. The mailing address for Craig Johnson is 10026 Old Ocean City Blvd, Berlin, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig Johnson
Address 10026 Old Ocean City Blvd, Berlin, Maryland
Phone Number 4106410430
Fax Number 4106413871
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1306021753
Provider Enumeration Date 2008-01-04
Last Updated Date 2011-10-03

Provider Mailing Address Detail

Address 10026 Old Ocean City Blvd
City Berlin
State Maryland (MD)
Post Code 21811
Phone Number 4106410430
Fax Number 4106413871

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No C0001907
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Craig Johnson

What is the unique provider identifier assigned to Craig Johnson?

The Craig Johnson has been issued the NPI (National Provider Identifier) 1306021753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Craig Johnson's facilities are geographically located?

The facilities of Craig Johnson are physically situated at the following location: 10026 Old Ocean City Blvd, Berlin, MD, 21811.

What is the Craig Johnson's area of specialization and corresponding taxonomy classification?

The Craig Johnson's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

When did Craig Johnson receive its 1306021753 assignment?

The Craig Johnson was assigned its 1306021753 on 2008-01-04, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Craig Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Craig Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-03.

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