Johnson, Glenda

Johnson, Glenda is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 240, Bossier City LA 71111-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Glenda can be contacted via phone (318) 742-5800.

Contact Information

Primary practice address
2400 Hospital Dr Suite 240 Bossier City LA 71111-2385
Phone: (318) 742-5800
Fax: (318) 741-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14496R Louisiana

Profile Details

NPI number 1679576243
LBN Legal business name Johnson, Glenda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Dec 21st, 2007 - 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 1679576243 NPPES
Louisiana MEDICAID 1125539

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