Johnson, Maryann
Johnson, Maryann is an individual health care provider with primary practice located at 4104 Lambeth Dr , Raleigh NC 27609-5800. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Maryann can be contacted via phone (919) 781-5728.Contact Information
Primary practice address
4104 Lambeth Dr
Raleigh NC 27609-5800
Phone: (919) 781-5728
Fax: (919) 781-5744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1386690113 |
|---|---|
| LBN Legal business name | Johnson, Maryann |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386690113 | NPPES |
| North Carolina | MEDICAID | 7446673 |
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