Johnson, Sharon Mayberry
Johnson, Sharon Mayberry is an sole proprietor health care provider with primary practice located at 218 Old Mocksville Rd , Statesville NC 28625-1930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Sharon Mayberry can be contacted via phone (704) 873-0281.Contact Information
Primary practice address
218 Old Mocksville Rd
Statesville NC 28625-1930
Phone: (704) 873-0281
Fax: (704) 838-7261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 047490 | North Carolina |
Profile Details
| NPI number | 1821053182 |
|---|---|
| LBN Legal business name | Johnson, Sharon Mayberry |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Mar 3rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821053182 | NPPES |
| North Carolina | MEDICAID | 8051044/8000282 |
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