Johnson, Ila B

Johnson, Ila B is an sole proprietor health care provider with primary practice located at 5010 Mayfield Rd Suite 103, Cleveland OH 44124-2611. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Ila B can be contacted via phone (216) 291-1550.

Contact Information

Primary practice address
5010 Mayfield Rd Suite 103 Cleveland OH 44124-2611
Phone: (216) 291-1550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 321 Ohio

Profile Details

NPI number 1720032758
LBN Legal business name Johnson, Ila B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated Sep 15th, 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 1720032758 NPPES
Ohio Other 000000116299 ANTHEM BC/BS
Ohio MEDICAID 0241796 ANTHEM BC/BS

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