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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043400401 NPPES
Other 1619414 BCBS GROUP
MEDICAID 036111927 BCBS GROUP

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