Johnson, Susannah E

Johnson, Susannah E is an individual health care provider with primary practice located at 2604 Dr Martin Luther King Jr Blvd , New Bern NC 28562-4238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Susannah E can be contacted via phone (252) 638-4023.

Contact Information

Primary practice address
2604 Dr Martin Luther King Jr Blvd New Bern NC 28562-4238
Phone: (252) 638-4023
Fax: (252) 633-2833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50503 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 50503 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2021-01038 North Carolina

Profile Details

NPI number 1750606075
LBN Legal business name Johnson, Susannah E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Jul 13th, 2021 - about 4 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 1750606075 NPPES
Kentucky MEDICAID 7100265170
Kentucky MEDICAID Q001805
Kentucky Other 6002116
Kentucky Other 6010882

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