Johnson, Megan D
Johnson, Megan D is an sole proprietor health care provider with primary practice located at 1497 W Elk Ave Suite 21, Elizabethton TN 37643-2895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Megan D can be contacted via phone (423) 542-7420.Contact Information
Primary practice address
1497 W Elk Ave Suite 21
Elizabethton TN 37643-2895
Phone: (423) 542-7420
Fax: (423) 542-7425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51290 | Tennessee |
Profile Details
| NPI number | 1457644254 |
|---|---|
| LBN Legal business name | Johnson, Megan D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2011 |
| Last updated | Feb 10th, 2017 - about 8 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 | 1457644254 | NPPES |
| Virginia | MEDICAID | 1457644254 | |
| Virginia | Other | 6023539 | |
| Virginia | MEDICAID | Q008037 |
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