Johnson, Lynn Marie

Johnson, Lynn Marie is an sole proprietor health care provider with primary practice located at 550 Trumbull Ave , Cortland OH 44410-9403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Lynn Marie can be contacted via phone (330) 637-2000.

Contact Information

Primary practice address
550 Trumbull Ave Cortland OH 44410-9403
Fax: (330) 637-2001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35083078J Ohio

Profile Details

NPI number 1043203821
LBN Legal business name Johnson, Lynn Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated May 7th, 2008 - about 18 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 1043203821 NPPES
Ohio MEDICAID 2433914

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