Johnson, Stephen M
Johnson, Stephen M is an individual health care provider with primary practice located at 10300 N Illinois St Ste 1040 , Indianapolis IN 46290-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Stephen M can be contacted via phone (317) 817-1765.Contact Information
Primary practice address
10300 N Illinois St Ste 1040
Indianapolis IN 46290-1167
Phone: (317) 817-1765
Fax: (317) 817-1767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01027083 | Indiana |
Profile Details
| NPI number | 1770551095 |
|---|---|
| LBN Legal business name | Johnson, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Jul 21st, 2022 - 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 | 1770551095 | NPPES |
| Indiana | MEDICAID | 100072660A |
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