Johnson, Linda Ann
Johnson, Linda Ann is an individual health care provider with primary practice located at 30920 Southfield Rd , Southfield MI 48076-7738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Linda Ann can be contacted via phone (248) 515-7513.Contact Information
Primary practice address
30920 Southfield Rd
Southfield MI 48076-7738
Phone: (248) 515-7513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704175110 | Michigan |
Profile Details
| NPI number | 1356330633 |
|---|---|
| LBN Legal business name | Johnson, Linda Ann |
| Credentials | MD FNP C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Aug 9th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356330633 | NPPES |
| Michigan | MEDICAID | 104489651 |
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