Johnson, Jo Ann

Johnson, Jo Ann is an individual health care provider with primary practice located at 3220 W Silver Lake Rd , Fenton MI 48430-1374. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Emergency Medical Service Providers / Personal Emergency Response Attendant. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Jo Ann can be contacted via phone (810) 750-1763.

Contact Information

Primary practice address
3220 W Silver Lake Rd Fenton MI 48430-1374
Phone: (810) 750-1763
Fax: (810) 750-1786
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101010026 Michigan
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 5101010026 Michigan

Profile Details

NPI number 1346262821
LBN Legal business name Johnson, Jo Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346262821 NPPES
Michigan MEDICAID 4301746

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