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Contact Information

ELIZABETH JOHNSON
1235 8TH ST
LAS VEGAS, NM87701-4219
 Phone: 505-425-6788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ELIZABETH JOHNSON · (Female)

NPI # 1902538051
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2022
Last updated 11/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # PA2023-0296
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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