Johnson, Mary H
Johnson, Mary H is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr 4Th Floor, Abingdon VA 24211-7664. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Johnson, Mary H can be contacted via phone (276) 258-4050.Contact Information
Primary practice address
16000 Johnston Memorial Dr 4Th Floor
Abingdon VA 24211-7664
Phone: (276) 258-4050
Fax: (276) 258-4056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 27331 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 9401227 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101052591 | Virginia |
Profile Details
| NPI number | 1801896022 |
|---|---|
| LBN Legal business name | Johnson, Mary H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 10th, 2017 - about 7 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 | 1801896022 | NPPES |
| Virginia | MEDICAID | 1801896022 | |
| Virginia | Other | 46440 | |
| Virginia | MEDICAID | Q015237 | |
| Virginia | MEDICAID | 8946440 | |
| Virginia | Other | NPI |
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