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Individual
NICHOLAS JAMES JOHNSON
Active
Individual
NICHOLAS JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 60450666
WA
207P00000X
Emergency Medicine Physician
MT198202
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT198202
PA
Other
Enumeration date
06/23/2010
Last updated
09/23/2015
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