Mckinney Johnson, Madora

Mckinney Johnson, Madora is an individual health care provider with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mckinney Johnson, Madora can be contacted via phone (601) 638-4076.

Contact Information

Primary practice address
1901 Mission 66 Suite A Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 883-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3182 Mississippi

Profile Details

NPI number 1619151735
LBN Legal business name Mckinney Johnson, Madora
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Apr 17th, 2018 - about 8 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 1619151735 NPPES
Mississippi Other 000050976 BCBS OF MISSISSIPPI

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