Johnson, Maria
Johnson, Maria is an sole proprietor health care provider with primary practice located at 148 Canfield Dr , Mount Clemens MI 48043-1704. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Johnson, Maria can be contacted via phone (586) 746-8159.Contact Information
Primary practice address
148 Canfield Dr
Mount Clemens MI 48043-1704
Phone: (586) 746-8159
Fax: (586) 307-3570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X |
Profile Details
| NPI number | 1265808596 |
|---|---|
| LBN Legal business name | Johnson, Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Aug 22nd, 2015 - about 9 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 | 1265808596 | NPPES |
| Michigan | MEDICAID | 369448487-A |
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