Johnson, Stephanie Jo
Johnson, Stephanie Jo is an individual health care provider with primary practice located at 1301 S Cliff Ave Ste 700 , Sioux Falls SD 57105-1019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Johnson, Stephanie Jo can be contacted via phone (605) 322-7200.Contact Information
Primary practice address
1301 S Cliff Ave Ste 700
Sioux Falls SD 57105-1019
Phone: (605) 322-7200
Fax: (605) 322-7222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21154 | Nebraska |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 36940 | Iowa |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5966 | South Dakota |
Profile Details
| NPI number | 1629089800 |
|---|---|
| LBN Legal business name | Johnson, Stephanie Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Oct 16th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629089800 | NPPES |
| Idaho | MEDICAID | 807247600 | |
| Idaho | Other | 30180 | |
| Idaho | Other | 9173120 | |
| Idaho | MEDICAID | 642398100 | |
| Idaho | MEDICAID | 7706280 | |
| Idaho | Other | 896110 | |
| Idaho | MEDICAID | 114658100 | |
| Idaho | Other | 220026517 |
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