Johnson, Renee Michelle

Johnson, Renee Michelle is an individual health care provider with primary practice located at 1015 Michigan Ave , Logansport IN 46947-1526. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Renee Michelle can be contacted via phone (574) 722-5151.

Contact Information

Primary practice address
1015 Michigan Ave Logansport IN 46947-1526
Fax: (574) 739-1313
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28145473A Indiana

Profile Details

NPI number 1114020468
LBN Legal business name Johnson, Renee Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1114020468 NPPES
Indiana Other 28145473A RN LICENSE

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