Johnson, Joann Elizabeth

Johnson, Joann Elizabeth is an individual health care provider with primary practice located at 101 Bob Wallace Ave Sw Suite E, Huntsville AL 35801-3847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Joann Elizabeth can be contacted via phone (256) 539-5339.

Contact Information

Primary practice address
101 Bob Wallace Ave Sw Suite E Huntsville AL 35801-3847
Phone: (256) 539-5339
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4556 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AL4556 Alabama

Profile Details

NPI number 1104809508
LBN Legal business name Johnson, Joann Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Apr 5th, 2022 - about 2 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 1104809508 NPPES
Alabama Other 51518176 BLUE CROSS BLUE SHIELD
Alabama Other 4483860 BLUE CROSS BLUE SHIELD
Alabama Other 51010283 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 529702470 BLUE CROSS BLUE SHIELD
Alabama Other 1403382 BLUE CROSS BLUE SHIELD

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