Johnson, Marleen Cousins

Johnson, Marleen Cousins is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Johnson, Marleen Cousins can be contacted via phone (859) 301-2250.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2250
Fax: (859) 572-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01084525A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36254 Kentucky

Profile Details

NPI number 1407857386
LBN Legal business name Johnson, Marleen Cousins
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 27th, 2021 - about 4 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 1407857386 NPPES
Indiana MEDICAID 200953680
Indiana MEDICAID 64030547
Indiana MEDICAID 2246671

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