Johnson, Alice

Johnson, Alice is an individual health care provider with primary practice located at 200 North St Suite 101, Geneva NY 14456-1561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Alice can be contacted via phone (315) 787-5100.

Contact Information

Primary practice address
200 North St Suite 101 Geneva NY 14456-1561
Phone: (315) 787-5100
Fax: (315) 787-5108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330480 New York

Profile Details

NPI number 1326102500
LBN Legal business name Johnson, Alice
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1326102500 NPPES
New York Other P00003445 R.R. MEDICARE
New York MEDICAID 01235432 R.R. MEDICARE
New York Other 109570BJ R.R. MEDICARE
New York Other P019330480 R.R. MEDICARE

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