Johnson, Rebecca E

Johnson, Rebecca E is an individual health care provider with primary practice located at 808 N 3Rd St , Goshen IN 46528. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Johnson, Rebecca E can be contacted via phone (574) 534-0088.

Contact Information

Primary practice address
808 N 3Rd St Goshen IN 46528
Phone: (574) 534-0088
Fax: (574) 971-8434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28145472A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000270A Indiana

Profile Details

NPI number 1619324126
LBN Legal business name Johnson, Rebecca E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2016
Last updated Dec 31st, 2020 - about 5 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 1619324126 NPPES
Indiana MEDICAID 201378720

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