Johnson, Leonard B

Johnson, Leonard B is an individual health care provider with primary practice located at 19251 Mack Ave 333, Grosse Pointe Woods MI 48236-2893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Johnson, Leonard B can be contacted via phone (313) 343-7280.

Contact Information

Primary practice address
19251 Mack Ave 333 Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-7280
Fax: (313) 343-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301062126 Michigan

Profile Details

NPI number 1982697645
LBN Legal business name Johnson, Leonard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982697645 NPPES
Michigan MEDICAID 3499036

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