Johnson, Mary Anne
Johnson, Mary Anne is an individual health care provider with primary practice located at 1101 W University Dr , Rochester MI 48307-1863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Mary Anne can be contacted via phone (248) 652-5354.Contact Information
Primary practice address
1101 W University Dr
Rochester MI 48307-1863
Phone: (248) 652-5354
Fax: (248) 652-5861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704120956 | Michigan |
Profile Details
| NPI number | 1154300382 |
|---|---|
| LBN Legal business name | Johnson, Mary Anne |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Oct 10th, 2016 - about 9 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 | 1154300382 | NPPES |
| Michigan | MEDICAID | 104537338 | |
| Michigan | Other | F36455195 | |
| Michigan | Other | MR120956 | |
| Michigan | Other | 11802470 |
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