Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA R JOHNSON, PA
Active Sole ProprietorJOSHUA R JOHNSON, PA is a Medical Physician Assistant healthcare provider located in BRADLEY, Illinois. NPI 1376840421 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BRADLEY, IL
Registration Details
- NPI Number
- 1376840421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2011 (15.451102212231 yrs)
- Last Updated
- Feb 24, 2011
- License
-
085003901 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 S. KENNEDYBRADLEY, IL, 60915Browse IL providers · Browse ZIP 60915
- Phone
- 8159288050
- Fax
- 8005052218
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BRADLEY, IL
| Name | Credential | NPI |
|---|---|---|
| HEIDI KATHLEEN HYNES NUTTALL | PA-C | 1649442849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.