Johnson, Shakevia V.

Johnson, Shakevia V. is an individual health care provider with primary practice located at 1 Boston Medical Center Place , Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Johnson, Shakevia V. can be contacted via phone (617) 414-5245.

Contact Information

Primary practice address
1 Boston Medical Center Place Boston MA 02118
Fax: (617) 414-5520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 55603 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24841 Mississippi
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 286906 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 286906 Massachusetts

Profile Details

NPI number 1104236850
LBN Legal business name Johnson, Shakevia V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2014
Last updated Feb 15th, 2022 - about 2 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 1104236850 NPPES
Massachusetts MEDICAID 110171775A

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