Johnson, Abigail Anne

Johnson, Abigail Anne is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Abigail Anne can be contacted via phone (574) 296-3200.

Contact Information

Primary practice address
303 S Nappanee St Elkhart IN 46514-2066
Phone: (574) 296-3200
Fax: (574) 296-3392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000628 Michigan
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002329A Indiana

Profile Details

NPI number 1194078634
LBN Legal business name Johnson, Abigail Anne
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2012
Last updated Oct 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194078634 NPPES
Indiana MEDICAID 201080690
Indiana Other 23002329A

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