Johnson, Bette T.

Johnson, Bette T. is an individual health care provider with primary practice located at 2500 Neff Rd. St Charles Medical Center, Bend OR 92201-0001. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Bette T. can be contacted via phone (541) 706-5675.

Contact Information

Primary practice address
2500 Neff Rd. St Charles Medical Center Bend OR 92201-0001
Fax:
Website:

Profile Details

NPI number 1497830574
LBN Legal business name Johnson, Bette T.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 23rd, 2020 - about 4 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 1497830574 NPPES
New Jersey MEDICAID 16225
New Jersey MEDICAID 4033701

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