Johnson, Mary Miller

Johnson, Mary Miller is an individual health care provider with primary practice located at 1784 Elkahatchee Rd , Alex City AL 35010-4800. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Johnson, Mary Miller can be contacted via phone (256) 329-0868.

Contact Information

Primary practice address
1784 Elkahatchee Rd Alex City AL 35010-4800
Fax: (256) 329-1101
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 0299 Alabama

Profile Details

NPI number 1174712996
LBN Legal business name Johnson, Mary Miller
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174712996 NPPES
Alabama Other 0299 OT ALABAMA LIC.

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