Johnson, Vanessa Emily
Johnson, Vanessa Emily is an individual health care provider with primary practice located at 7125 Murrell Rd Ste A , Melbourne FL 32940-7999. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Johnson, Vanessa Emily can be contacted via phone (321) 361-5607.Contact Information
Primary practice address
7125 Murrell Rd Ste A
Melbourne FL 32940-7999
Phone: (321) 361-5607
Fax: (321) 751-9362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME132429 | Florida |
Profile Details
| NPI number | 1972948875 |
|---|---|
| LBN Legal business name | Johnson, Vanessa Emily |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2013 |
| Last updated | May 8th, 2023 - about last year |
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 | 1972948875 | NPPES |
| Florida | Other | JC290Z | MEDICARE |
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