Johnson, Mary Jo
Johnson, Mary Jo is an individual health care provider with primary practice located at 510 Butler Ave Veterans Affairs Medical Center, Martinsburg WV 25405. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Johnson, Mary Jo can be contacted via phone (304) 263-0811.Contact Information
Primary practice address
510 Butler Ave Veterans Affairs Medical Center
Martinsburg WV 25405
Phone: (304) 263-0811
Fax: (304) 262-7435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 716432 | Virginia |
Profile Details
| NPI number | 1396836003 |
|---|---|
| LBN Legal business name | Johnson, Mary Jo |
| Credentials | RD, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 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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