Johnson, Vanessa O

Johnson, Vanessa O is an individual health care provider with primary practice located at 50 Medical Park Blvd Suite B, Petersburg VA 23805-9275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Vanessa O can be contacted via phone (804) 732-7100.

Contact Information

Primary practice address
50 Medical Park Blvd Suite B Petersburg VA 23805-9275
Phone: (804) 732-7100
Fax: (804) 732-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39958 Virginia

Profile Details

NPI number 1396866448
LBN Legal business name Johnson, Vanessa O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Mar 2nd, 2009 - about 16 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 1396866448 NPPES
Virginia Other 1093967788 GROUP NPI

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