Johnson, Vanessa M.P.
Johnson, Vanessa M.P. is an individual health care provider with primary practice located at 330 Washington St Ste 220 , Norwich CT 06360. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Johnson, Vanessa M.P. can be contacted via phone (608) 886-8362.Contact Information
Primary practice address
330 Washington St Ste 220
Norwich CT 06360
Phone: (608) 886-8362
Fax: (608) 886-9262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 041673 | Connecticut |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 041673 | Connecticut |
Profile Details
| NPI number | 1326047549 |
|---|---|
| LBN Legal business name | Johnson, Vanessa M.P. |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 12th, 2022 - about 2 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 | 1326047549 | NPPES |
| Connecticut | MEDICAID | 001416735 |
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