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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720032758 | NPPES |
| Ohio | Other | 000000116299 | ANTHEM BC/BS |
| Ohio | MEDICAID | 0241796 | ANTHEM BC/BS |
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