Johnson, Shawn Evette
Johnson, Shawn Evette is an individual health care provider with primary practice located at 235 W Palm St Ste 108 , Bellville TX 77418-1300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Johnson, Shawn Evette can be contacted via phone (979) 413-4840.Contact Information
Primary practice address
235 W Palm St Ste 108
Bellville TX 77418-1300
Phone: (979) 413-4840
Fax: (979) 413-7349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | P3902 | Texas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 23310 | Nebraska |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101252896 | Virginia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD.205784 | Louisiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | P3902 | Texas |
Profile Details
NPI number | 1609927342 |
---|---|
LBN Legal business name | Johnson, Shawn Evette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Jun 15th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609927342 | NPPES |
Louisiana | MEDICAID | 2334361 | |
Louisiana | MEDICAID | 05024837 | |
Louisiana | MEDICAID | 3925117 | |
Louisiana | MEDICAID | 1609927342 |
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