Johnson, Annette B
Johnson, Annette B is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw , Atlanta GA 30309-1281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Annette B can be contacted via phone (404) 351-1745.Contact Information
Primary practice address
1968 Peachtree Rd Nw
Atlanta GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 096884 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN096884 | Georgia |
Profile Details
| NPI number | 1508839168 |
|---|---|
| LBN Legal business name | Johnson, Annette B |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Aug 9th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508839168 | NPPES |
| Georgia | MEDICAID | 00824315A | |
| Georgia | MEDICAID | 000824315J |
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