Johnson, Tiffanie
Johnson, Tiffanie is an individual health care provider with primary practice located at 575 Riley Hospital Dr. Msa 2 , Indianapolis IN 46202-5109. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Johnson, Tiffanie can be contacted via phone (317) 944-8906.Contact Information
Primary practice address
575 Riley Hospital Dr. Msa 2
Indianapolis IN 46202-5109
Phone: (317) 944-8906
Fax: (317) 274-4022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 01054582 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01054582 | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 01054582 | Indiana |
Profile Details
| NPI number | 1932142809 |
|---|---|
| LBN Legal business name | Johnson, Tiffanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Nov 20th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932142809 | NPPES |
| Kentucky | MEDICAID | 64070253 | |
| Kentucky | MEDICAID | 1011498 | |
| Kentucky | MEDICAID | 200455010 |
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