Johnson, Desiree B

Johnson, Desiree B is an individual health care provider with primary practice located at 201 Woodson St Ste A , Salisbury NC 28144-3286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Desiree B can be contacted via phone (704) 639-0097.

Contact Information

Primary practice address
201 Woodson St Ste A Salisbury NC 28144-3286
Phone: (704) 639-0097
Fax: (704) 639-1389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9800923 North Carolina

Profile Details

NPI number 1013903202
LBN Legal business name Johnson, Desiree B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Oct 25th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013903202 NPPES
North Carolina MEDICAID 8911530

Popular Providers