Johnson, Carol M

Johnson, Carol M is an individual health care provider with primary practice located at 751 S Bascom Ave Neonatology, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Johnson, Carol M can be contacted via phone (408) 885-5420.

Contact Information

Primary practice address
751 S Bascom Ave Neonatology San Jose CA 95128-2604
Fax:
Website:

Health care specialties

Profile Details

NPI number 1811058191
LBN Legal business name Johnson, Carol M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811058191 NPPES
California MEDICAID RN543317

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