Johnson, Marla Y

Johnson, Marla Y is an sole proprietor health care provider with primary practice located at 3330 Masonic Dr , Alexandria LA 71301-3841. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Johnson, Marla Y can be contacted via phone (318) 448-6827.

Contact Information

Primary practice address
3330 Masonic Dr Alexandria LA 71301-3841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 714-L Mississippi
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 21599 Mississippi
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD.206128 Louisiana

Profile Details

NPI number 1720241102
LBN Legal business name Johnson, Marla Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2008
Last updated Apr 20th, 2022 - about 2 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 1720241102 NPPES
Alabama MEDICAID 177371
Alabama MEDICAID 07002256

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