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Contact Information

LATOYA T BOLDS JOHNSON, PA-C
1350 CONNECTICUT AVE NW STE 1250
WASHINGTON, DC20036-1728
 Phone: 202-627-1901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LATOYA T BOLDS JOHNSON · (Female)

NPI Number 1376803189
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/26/2012
Last updated 11/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DC License # PA031955
  • MA License # PA9481
  • MD License # C04725
  • TX License # PA08440
  • MD Other C04725 MARYLAND PHYSICIAN ASSISTANT LICENSE
  • TX Other PA08440 TEXAS MEDICAL BOARD PA LICENSE
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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