Johnson, Beverly Ann
Johnson, Beverly Ann is an sole proprietor health care provider with primary practice located at 12300 Mccracken Rd , Garfield Heights OH 44125-2914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Beverly Ann can be contacted via phone (216) 587-2379.Contact Information
Primary practice address
12300 Mccracken Rd
Garfield Heights OH 44125-2914
Phone: (216) 587-2379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP-07189 | Ohio |
Profile Details
| NPI number | 1588712764 |
|---|---|
| LBN Legal business name | Johnson, Beverly Ann |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588712764 | NPPES |
| Ohio | MEDICAID | 2375273 |
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