Johnson, Alexandra A

Johnson, Alexandra A is an individual health care provider with primary practice located at 5000 Hakes Dr , Norton Shores MI 49441-5574. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Alexandra A can be contacted via phone (231) 798-4445.

Contact Information

Primary practice address
5000 Hakes Dr Norton Shores MI 49441-5574
Fax: (231) 798-4462
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1245983527
LBN Legal business name Johnson, Alexandra A
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 2 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 1245983527 NPPES
Michigan Other R61022041 BLUE CROSS BLUE SHIELD

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