Individual
DR. MICHAEL SHAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Mailing address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1404
WV
207Q00000X
Family Medicine Physician
Primary
1404
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025499
BC
WV
05
—
0040103000
—
WV
Enumeration date
10/17/2005
Last updated
05/30/2025
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