Johnson, Susanna E
Johnson, Susanna E is an sole proprietor health care provider with primary practice located at 118 Morey Dr , Marysville OH 43040-1646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Susanna E can be contacted via phone (937) 578-2796.Contact Information
Primary practice address
118 Morey Dr
Marysville OH 43040-1646
Phone: (937) 578-2796
Fax: (937) 642-4136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-07-8759 | Ohio |
Profile Details
| NPI number | 1487640595 |
|---|---|
| LBN Legal business name | Johnson, Susanna E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Mar 15th, 2011 - about 14 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 | 1487640595 | NPPES |
| Ohio | MEDICAID | 2247312 |
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