Johnson, Joel A

Johnson, Joel A is an individual health care provider with primary practice located at 901 Lakeshore Dr. , Ishpeming MI 49849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Johnson, Joel A can be contacted via phone (906) 485-2696.

Contact Information

Primary practice address
901 Lakeshore Dr. Ishpeming MI 49849
Phone: (906) 485-2696
Fax: (906) 485-2728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301057398 Michigan

Profile Details

NPI number 1689658973
LBN Legal business name Johnson, Joel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Apr 26th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689658973 NPPES
Michigan MEDICAID 3123800
Michigan Other 3305200671

Popular Providers