Johnson, Michelle

Johnson, Michelle is an individual health care provider with primary practice located at 112 Quarry Rd Suite 220, Trumbull CT 06611-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Michelle can be contacted via phone (203) 374-6162.

Contact Information

Primary practice address
112 Quarry Rd Suite 220 Trumbull CT 06611-4816
Phone: (203) 374-6162
Fax: (203) 374-1549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5134 Connecticut

Profile Details

NPI number 1922347335
LBN Legal business name Johnson, Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Jan 16th, 2014 - about 10 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 1922347335 NPPES
Connecticut MEDICAID 1922347335

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