Johnson, Michael J

Johnson, Michael J is an individual health care provider with primary practice located at 1026 A Ave Ne , Cedar Rapids IA 52402-5036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Johnson, Michael J can be contacted via phone (319) 369-7959.

Contact Information

Primary practice address
1026 A Ave Ne Cedar Rapids IA 52402-5036
Phone: (319) 369-7959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209009740 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G094270 Iowa

Profile Details

NPI number 1104175405
LBN Legal business name Johnson, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Sep 29th, 2020 - about 4 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 1104175405 NPPES
Iowa Other G094270 ARNP LICENSE

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