Johnson, Dannette Smith

Johnson, Dannette Smith is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Rheumatology, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Johnson, Dannette Smith can be contacted via phone (601) 984-5540.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Rheumatology Jackson MS 39216-4500
Phone: (601) 984-5540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X L9266 Texas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 19808 Mississippi

Profile Details

NPI number 1881743326
LBN Legal business name Johnson, Dannette Smith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 30th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881743326 NPPES
Mississippi Other P01234022 RAILROAD MEDICARE
Mississippi MEDICAID 06807377 RAILROAD MEDICARE
Mississippi MEDICAID 106542 RAILROAD MEDICARE
Mississippi MEDICAID 1029297 RAILROAD MEDICARE

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