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Contact Information

PAUL D JOHENK, DO
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6401
 Fax: 505-368-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PAUL D JOHENK · (Male)

NPI # 1366430084
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/06/2005
Last updated 12/26/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A4190
  • AZ Medicaid 696388
  • CO Medicaid 41639529
  • NM Medicaid B3824
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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