Johnson, Deborah M

Johnson, Deborah M is an individual health care provider with primary practice located at 4950 Essen Ln Ste 300 , Baton Rouge LA 70809-3739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Johnson, Deborah M can be contacted via phone (225) 757-0343.

Contact Information

Primary practice address
4950 Essen Ln Ste 300 Baton Rouge LA 70809-3739
Phone: (225) 757-0343
Fax: (225) 757-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 021976 Louisiana

Profile Details

NPI number 1902809692
LBN Legal business name Johnson, Deborah M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 26th, 2021 - about 3 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 1902809692 NPPES
Louisiana Other 1446891 MEDICAID GROUP
Louisiana MEDICAID 1686760 MEDICAID GROUP
Louisiana Other 5CK94 MEDICAID GROUP
Louisiana Other 5W980CK94 MEDICAID GROUP
Louisiana Other P00157711 MEDICAID GROUP
Louisiana Other DB9815 MEDICAID GROUP

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