Johnson, Sheryl L

Johnson, Sheryl L is an individual health care provider with primary practice located at 35 Michigan St Ne , Grand Rapids MI 49503-2514. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Johnson, Sheryl L can be contacted via phone (616) 267-2660.

Contact Information

Primary practice address
35 Michigan St Ne Grand Rapids MI 49503-2514
Phone: (616) 267-2660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 35.131146 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101231150 Virginia
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 4301502126 Michigan

Profile Details

NPI number 1518907138
LBN Legal business name Johnson, Sheryl L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 3rd, 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 1518907138 NPPES
Virginia MEDICAID 1518907138

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