Johnson, Jerri L.
Johnson, Jerri L. is an sole proprietor health care provider with primary practice located at 411 Maitland Ave Suite 1001, Altamonte Springs FL 32701-5448. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Jerri L. can be contacted via phone (407) 260-2606.Contact Information
Primary practice address
411 Maitland Ave Suite 1001
Altamonte Springs FL 32701-5448
Phone: (407) 260-2606
Fax: (407) 260-6339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0049721 | Florida |
Profile Details
| NPI number | 1588648265 |
|---|---|
| LBN Legal business name | Johnson, Jerri L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Dec 17th, 2009 - about 15 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 | 1588648265 | NPPES |
| Florida | MEDICAID | 058049000 |
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