Johnson, Georgette

Johnson, Georgette is an individual health care provider with primary practice located at 619 N Broadview St , Cape Girardeau MO 63701-4313. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Johnson, Georgette can be contacted via phone (573) 334-3486.

Contact Information

Primary practice address
619 N Broadview St Cape Girardeau MO 63701-4313
Phone: (573) 334-3486
Fax: (573) 334-3524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1999140485 Missouri

Profile Details

NPI number 1467406728
LBN Legal business name Johnson, Georgette
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 1st, 2008 - about 17 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 1467406728 NPPES
Other 146377 BLUE CROSS BLUE SHIELD
Other 430142 BLUE CROSS BLUE SHIELD
Other 430142 BLUE CROSS BLUE SHIELD
Other 430142 BLUE CROSS BLUE SHIELD
Other 431823864 BLUE CROSS BLUE SHIELD
Other 430142 BLUE CROSS BLUE SHIELD
Other 431823864 BLUE CROSS BLUE SHIELD
MEDICAID 493874812 BLUE CROSS BLUE SHIELD
Other 43042 BLUE CROSS BLUE SHIELD
Other 431823864 BLUE CROSS BLUE SHIELD
Other 431823864 BLUE CROSS BLUE SHIELD
Other 431823864 BLUE CROSS BLUE SHIELD
Other 5633811 BLUE CROSS BLUE SHIELD

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