Johnston, Martha Anne

Johnston, Martha Anne is an individual health care provider with primary practice located at 415 Byers Rd Ste 300, Miamisburg OH 45342-3684. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnston, Martha Anne can be contacted via phone (937) 866-2494.

Contact Information

Primary practice address
415 Byers Rd Ste 300 Miamisburg OH 45342-3684
Fax: (937) 866-8494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.050078 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35050078J Ohio

Profile Details

NPI number 1558348714
LBN Legal business name Johnston, Martha Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 20th, 2021 - about 4 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 1558348714 NPPES
Ohio Other JO0658682 MEDICARE PTAN
Ohio Other 0658681 MEDICARE PTAN
Ohio Other 0658686 MEDICARE PTAN
Ohio MEDICAID 153891 MEDICARE PTAN

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