Johnson, Valerie Lynn

Johnson, Valerie Lynn is an individual health care provider with primary practice located at 7330 N Canton Center Rd , Canton MI 48187-1538. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Johnson, Valerie Lynn can be contacted via phone (734) 454-4001.

Contact Information

Primary practice address
7330 N Canton Center Rd Canton MI 48187-1538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X VJ053315 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X VJ053315 Michigan

Profile Details

NPI number 1568441491
LBN Legal business name Johnson, Valerie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 6th, 2015 - about 9 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 1568441491 NPPES
Michigan MEDICAID 444718810

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