Johnson, Ewanah D

Johnson, Ewanah D is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Ewanah D can be contacted via phone (269) 983-8300.

Contact Information

Primary practice address
1234 Napier Ave Saint Joseph MI 49085-2112
Phone: (269) 983-8300
Fax: (269) 985-4535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35078873J Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301091013 Michigan

Profile Details

NPI number 1841282456
LBN Legal business name Johnson, Ewanah D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated May 20th, 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 1841282456 NPPES
Ohio MEDICAID 2325228
Ohio MEDICAID 1841282456
Ohio Other 1538397120
Ohio Other 270381199

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