Johnson, Heidi Ann

Johnson, Heidi Ann is an individual health care provider with primary practice located at 4778 S Scatterfield Rd , Anderson IN 46013-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Heidi Ann can be contacted via phone (765) 646-6331.

Contact Information

Primary practice address
4778 S Scatterfield Rd Anderson IN 46013-2908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01048906A Indiana

Profile Details

NPI number 1194876318
LBN Legal business name Johnson, Heidi Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Oct 26th, 2022 - about 2 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 1194876318 NPPES
Indiana MEDICAID 200295890A
Indiana Other 000000313568

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