Johnson, Jeffery James

Johnson, Jeffery James is an sole proprietor health care provider with primary practice located at 23901 Lahser Rd , Southfield MI 48033-6035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, Jeffery James can be contacted via phone (248) 357-3360.

Contact Information

Primary practice address
23901 Lahser Rd Southfield MI 48033-6035
Phone: (248) 357-3360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704215208 Michigan

Profile Details

NPI number 1699720185
LBN Legal business name Johnson, Jeffery James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jan 10th, 2024 - about 11 months 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 1699720185 NPPES
Michigan MEDICAID 104692611
Michigan Other JJ215208

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