Johnson, Sandra Marie

Johnson, Sandra Marie is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Johnson, Sandra Marie can be contacted via phone (573) 882-1506.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-1506
Fax: (573) 884-5575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME133380 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2020032290 Missouri
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME133380 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 2020032290 Missouri

Profile Details

NPI number 1730198714
LBN Legal business name Johnson, Sandra Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jun 6th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730198714 NPPES
Florida MEDICAID 021901500
Florida Other RU935

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