Johnson, Jennifer Maria
Johnson, Jennifer Maria is an individual health care provider with primary practice located at 925 Chestnut St Suite 320A, Philadelphia PA 19107-4216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Johnson, Jennifer Maria can be contacted via phone (215) 955-8874.Contact Information
Primary practice address
925 Chestnut St Suite 320A
Philadelphia PA 19107-4216
Phone: (215) 955-8874
Fax: (215) 955-2340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 25MA1055100 | New Jersey |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT193621 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD443712 | Pennsylvania |
Profile Details
| NPI number | 1518127364 |
|---|---|
| LBN Legal business name | Johnson, Jennifer Maria |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Jan 3rd, 2019 - about 5 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 | 1518127364 | NPPES |
| Pennsylvania | MEDICAID | 103041968 | |
| Pennsylvania | MEDICAID | 0476374 |
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