Johnson, Michele H
Johnson, Michele H is an individual health care provider with primary practice located at 20 York St Ynhh South Pavilion - 2Nd Floor, New Haven CT 06510-3220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Johnson, Michele H can be contacted via phone (203) 688-2433.Contact Information
Primary practice address
20 York St Ynhh South Pavilion - 2Nd Floor
New Haven CT 06510-3220
Phone: (203) 688-2433
Fax: (203) 688-9258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 037637 | Connecticut |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 037637 | Connecticut |
Profile Details
| NPI number | 1720060056 |
|---|---|
| LBN Legal business name | Johnson, Michele H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 22nd, 2008 - about 16 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 | 1720060056 | NPPES |
| Connecticut | MEDICAID | 001376377 |
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