Johnson, Mary

Johnson, Mary is an individual health care provider with primary practice located at 3865 S Mackinac Trl , Sault Sainte Marie MI 49783-9286. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Johnson, Mary can be contacted via phone (906) 632-2805.

Contact Information

Primary practice address
3865 S Mackinac Trl Sault Sainte Marie MI 49783-9286
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 4704238873 Michigan

Profile Details

NPI number 1477642189
LBN Legal business name Johnson, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - 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 1477642189 NPPES
Michigan Other 7509104110 BCBS

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