Johnson, Sandra Marchese
Johnson, Sandra Marchese is an individual health care provider with primary practice located at 5921 Riley Park Dr , Fort Smith AR 72916-6103. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Johnson, Sandra Marchese can be contacted via phone (479) 420-1221.Contact Information
Primary practice address
5921 Riley Park Dr
Fort Smith AR 72916-6103
Phone: (479) 420-1221
Fax: (479) 646-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | E1554 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | E-1554 | Arkansas |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | E-1554 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | E1554 | Arkansas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | E-1554 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-1554 | Arkansas |
Profile Details
| NPI number | 1447256102 |
|---|---|
| LBN Legal business name | Johnson, Sandra Marchese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Aug 30th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447256102 | NPPES |
| Arkansas | MEDICAID | 139972001 |
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