Johnson, Mary Ida

Johnson, Mary Ida is an individual health care provider with primary practice located at 2Nd Ambulatory Care Ctr 2211 Lomas Blvd. Ne, Albuquerque NM 87131-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Johnson, Mary Ida can be contacted via phone (505) 272-3342.

Contact Information

Primary practice address
2Nd Ambulatory Care Ctr 2211 Lomas Blvd. Ne Albuquerque NM 87131-0001
Phone: (505) 272-3342
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2000-214 New Mexico

Profile Details

NPI number 1184630832
LBN Legal business name Johnson, Mary Ida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 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.

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