Johnson, Michele Dawn
Johnson, Michele Dawn is an individual health care provider with primary practice located at 3775 N Mulford Rd , Rockford IL 61114-5632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Johnson, Michele Dawn can be contacted via phone (815) 636-6400.Contact Information
Primary practice address
3775 N Mulford Rd
Rockford IL 61114-5632
Phone: (815) 636-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209.006878 | Illinois |
Profile Details
| NPI number | 1407039167 |
|---|---|
| LBN Legal business name | Johnson, Michele Dawn |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Nov 17th, 2021 - 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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