Johnson, Breena Marie
Johnson, Breena Marie is an individual health care provider with primary practice located at 416 Connable Ave , Petoskey MI 49770-2212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Johnson, Breena Marie can be contacted via phone (231) 330-4235.Contact Information
Primary practice address
416 Connable Ave
Petoskey MI 49770-2212
Phone: (231) 330-4235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5601006233 | Michigan |
Profile Details
| NPI number | 1982908075 |
|---|---|
| LBN Legal business name | Johnson, Breena Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2011 |
| Last updated | Jan 10th, 2014 - about 10 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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