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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982697645 | NPPES |
Michigan | MEDICAID | 3499036 |
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