Johnson, Marissa Marie

Johnson, Marissa Marie is an individual health care provider with primary practice located at 6620 Schaefer Rd , Dearborn MI 48126-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Marissa Marie can be contacted via phone (313) 582-3700.

Contact Information

Primary practice address
6620 Schaefer Rd Dearborn MI 48126-4502
Fax: (313) 582-3301
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003464 Michigan

Profile Details

NPI number 1396997862
LBN Legal business name Johnson, Marissa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Oct 16th, 2008 - 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.

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