Johnson, Mischelle K

Johnson, Mischelle K is an individual health care provider with primary practice located at 16515 S. 40Th St, Bldg 9, Suite 143 , Phoenix AZ 85048. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Mischelle K can be contacted via phone (480) 712-8319.

Contact Information

Primary practice address
16515 S. 40Th St, Bldg 9, Suite 143 Phoenix AZ 85048
Phone: (480) 712-8319
Fax: (480) 712-1305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 2421 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1801975982
LBN Legal business name Johnson, Mischelle K
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Nov 2nd, 2022 - about 3 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 1801975982 NPPES
Arizona Other 280764 LICENSE
Arizona Other F08220175 LICENSE
Arizona MEDICAID 559346 LICENSE
Arizona Other PA61331068 LICENSE
Arizona Other PA9116211 LICENSE

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