Johnson, Dianne Caroline

Johnson, Dianne Caroline is an individual health care provider with primary practice located at 3700 Park East Dr Ste 450 , Beachwood OH 44122-4318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Dianne Caroline can be contacted via phone (866) 849-0692.

Contact Information

Primary practice address
3700 Park East Dr Ste 450 Beachwood OH 44122-4318
Phone: (866) 849-0692
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11536-NP Ohio

Profile Details

NPI number 1801104773
LBN Legal business name Johnson, Dianne Caroline
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated May 8th, 2024 - about last year

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 1801104773 NPPES
Ohio MEDICAID 3085049

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