Johnston, Michelle M

Johnston, Michelle M is an individual health care provider with primary practice located at 1656 Champlin Ave , Utica NY 13502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Johnston, Michelle M can be contacted via phone (315) 624-6241.

Contact Information

Primary practice address
1656 Champlin Ave Utica NY 13502
Phone: (315) 624-6241
Fax: (315) 624-6395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 219360 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 219360 New York

Profile Details

NPI number 1477540771
LBN Legal business name Johnston, Michelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2005
Last updated Dec 20th, 2018 - about 6 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 1477540771 NPPES
New York MEDICAID 02192381

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