Johnson, Jeanette R

Johnson, Jeanette R is an individual health care provider with primary practice located at 6 Regional Cr Suite A, Pinehurst NC 28374. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Johnson, Jeanette R can be contacted via phone (910) 295-9255.

Contact Information

Primary practice address
6 Regional Cr Suite A Pinehurst NC 28374
Phone: (910) 295-9255
Fax: (910) 295-7255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 531 North Carolina

Profile Details

NPI number 1255337804
LBN Legal business name Johnson, Jeanette R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 9th, 2011 - about 13 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 1255337804 NPPES
Florida Other 65554 BLUE CROSS/BLUE SHIELD

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