# MR. JOSEPH L JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326034620
- **Gender:** Man
- **Credential:** CP, CTPO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | CO15753 | CO | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 03/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117954300 | — | WY |
| 05 | — | 97021032 | — | CO |