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Individual
CHARLES FELZEN JOHNSON
Active
Individual
CHARLES FELZEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35046983
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105315000
MEDICAID
WV
05
—
0476560
—
OH
01
—
64789324
MEDICAID
KY
Enumeration date
08/22/2005
Last updated
07/13/2026
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