Johnson, Simira
Johnson, Simira is an individual health care provider with primary practice located at 15474 N Haggerty Rd , Plymouth MI 48170-4893. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Simira can be contacted via phone (734) 335-6103.Contact Information
Primary practice address
15474 N Haggerty Rd
Plymouth MI 48170-4893
Phone: (734) 335-6103
Fax: (734) 404-5317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704239161 | Michigan |
Profile Details
| NPI number | 1902213697 |
|---|---|
| LBN Legal business name | Johnson, Simira |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2014 |
| Last updated | Dec 11th, 2014 - about 11 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 | 1902213697 | NPPES |
| Michigan | MEDICAID | 1235125717 |
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