Johnston, Susan Elaine
Johnston, Susan Elaine is an sole proprietor health care provider with primary practice located at 1272 Garrison Dr , Murfreesboro TN 37129-2598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnston, Susan Elaine can be contacted via phone (615) 893-4480.Contact Information
Primary practice address
1272 Garrison Dr
Murfreesboro TN 37129-2598
Phone: (615) 893-4480
Fax: (615) 867-8182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15521 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD42540 | Tennessee |
Profile Details
| NPI number | 1912975566 |
|---|---|
| LBN Legal business name | Johnston, Susan Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jun 26th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912975566 | NPPES |
| Mississippi | MEDICAID | 00120828 |
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