Johnson, Rose

Johnson, Rose is an individual health care provider with primary practice located at 505 N Jackson St , Jackson MI 49201-1266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Rose can be contacted via phone (517) 748-5500.

Contact Information

Primary practice address
505 N Jackson St Jackson MI 49201-1266
Phone: (517) 748-5500
Fax: (517) 780-9286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301081002 Michigan

Profile Details

NPI number 1437156858
LBN Legal business name Johnson, Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 28th, 2021 - 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 1437156858 NPPES
Michigan MEDICAID 4471835-10

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