Johnson, Stephen Iversen

Johnson, Stephen Iversen is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Johnson, Stephen Iversen can be contacted via phone (504) 842-3470.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Phone: (504) 842-3470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD.204565 Louisiana

Profile Details

NPI number 1083855068
LBN Legal business name Johnson, Stephen Iversen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Nov 25th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083855068 NPPES
Louisiana MEDICAID 1941921
Louisiana MEDICAID 06883732

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