Johnson, Tisha K.

Johnson, Tisha K. is an individual health care provider with primary practice located at 1101 Veterans Dr , Lexington KY 40502-2235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Tisha K. can be contacted via phone (859) 233-4511.

Contact Information

Primary practice address
1101 Veterans Dr Lexington KY 40502-2235
Phone: (859) 233-4511
Fax: (859) 281-3976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01061473 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.087561 Ohio
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 44426 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44426 Kentucky

Profile Details

NPI number 1285644146
LBN Legal business name Johnson, Tisha K.
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Oct 8th, 2014 - about 10 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 1285644146 NPPES
Ohio MEDICAID 3082800
Ohio Other 000000315186
Ohio Other P00867121
Ohio Other 3082800
Ohio MEDICAID 200853490
Ohio MEDICAID 3810018631

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