Johnson, Jodie L

Johnson, Jodie L is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Johnson, Jodie L can be contacted via phone (866) 282-7905.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Phone: (866) 282-7905
Fax: (800) 731-0751
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 01045348 Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01045348 Indiana

Profile Details

NPI number 1538115209
LBN Legal business name Johnson, Jodie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538115209 NPPES
Indiana MEDICAID 200215170

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