Johnson, Mary Alice
Johnson, Mary Alice is an individual health care provider with primary practice located at 3340 Providence Dr Suite 366, Anchorage AK 99508-4616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Johnson, Mary Alice can be contacted via phone (907) 563-3026.Contact Information
Primary practice address
3340 Providence Dr Suite 366
Anchorage AK 99508-4616
Phone: (907) 563-3026
Fax: (907) 562-6445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 3976 | Alaska |
Profile Details
| NPI number | 1386759751 |
|---|---|
| LBN Legal business name | Johnson, Mary Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1386759751 | NPPES |
| Alaska | MEDICAID | PENDING |
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