Johnson, Suzanne Sandra
Johnson, Suzanne Sandra is an sole proprietor health care provider with primary practice located at 1120 10Th St E , Palmetto FL 34221-4134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Suzanne Sandra can be contacted via phone (941) 847-7903.Contact Information
Primary practice address
1120 10Th St E
Palmetto FL 34221-4134
Phone: (941) 847-7903
Fax: (941) 847-7919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N/A | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS10891 | Florida |
Profile Details
| NPI number | 1194953695 |
|---|---|
| LBN Legal business name | Johnson, Suzanne Sandra |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Aug 18th, 2021 - about 3 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 | 1194953695 | NPPES |
| Florida | MEDICAID | 022946300 | |
| Florida | Other | OS10891 |
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