Johnson, Jeri Benton

Johnson, Jeri Benton is an individual health care provider with primary practice located at 5131 Odonovan Dr Suite 201, Baton Rouge LA 70808-4791. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Jeri Benton can be contacted via phone (225) 374-0220.

Contact Information

Primary practice address
5131 Odonovan Dr Suite 201 Baton Rouge LA 70808-4791
Fax: (225) 374-0221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14002R Louisiana

Profile Details

NPI number 1689674111
LBN Legal business name Johnson, Jeri Benton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 26th, 2021 - about 3 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 1689674111 NPPES
Louisiana MEDICAID 1187771
Louisiana Other 110232767

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