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Contact Information

CHARLENE JOHNSON
1201 BROAD ROCK BLVD
RICHMOND, VA23249-0001
 Phone: 203-606-2229
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for CHARLENE JOHNSON · (Female)

NPI Number 1730011305
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2026
Last updated 05/30/2026 - Less than a week ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 000-1309235
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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