Johnson, Ashira
Johnson, Ashira is an sole proprietor health care provider with primary practice located at 7230 W North Ave Suite 106B, Elmwood Park IL 60707-4261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Ashira can be contacted via phone (708) 453-3000.Contact Information
Primary practice address
7230 W North Ave Suite 106B
Elmwood Park IL 60707-4261
Phone: (708) 453-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036111927 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME59614 | Florida |
Profile Details
NPI number | 1043400401 |
---|---|
LBN Legal business name | Johnson, Ashira |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2007 |
Last updated | Nov 23rd, 2009 - about 15 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 | 1043400401 | NPPES |
Other | 1619414 | BCBS GROUP | |
MEDICAID | 036111927 | BCBS GROUP |
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