Johnson, Jennifer M
Johnson, Jennifer M is an individual health care provider with primary practice located at 1035 Alto Street , Santa Fe NM 87501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Jennifer M can be contacted via phone (505) 982-4425.Contact Information
Primary practice address
1035 Alto Street
Santa Fe NM 87501
Phone: (505) 982-4425
Fax: (505) 982-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 87-268 | New Mexico |
Profile Details
| NPI number | 1396763504 |
|---|---|
| LBN Legal business name | Johnson, Jennifer M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396763504 | NPPES |
| New Mexico | MEDICAID | 00003202 |
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