Johnson, Elijah Michael
Johnson, Elijah Michael is an individual health care provider with primary practice located at 710 Coronado Center Dr Ste 200-Ej , Henderson NV 89052-4289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Elijah Michael can be contacted via phone (702) 334-0145.Contact Information
Primary practice address
710 Coronado Center Dr Ste 200-Ej
Henderson NV 89052-4289
Phone: (702) 334-0145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 13190 | Nevada |
Profile Details
| NPI number | 1851415509 |
|---|---|
| LBN Legal business name | Johnson, Elijah Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851415509 | NPPES |
| Nevada | Other | LL1489 | MEDICAL LICENSE |
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