Johnson, Abigail Anne
Johnson, Abigail Anne is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Abigail Anne can be contacted via phone (574) 296-3200.Contact Information
Primary practice address
303 S Nappanee St
Elkhart IN 46514-2066
Phone: (574) 296-3200
Fax: (574) 296-3392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000628 | Michigan |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002329A | Indiana |
Profile Details
| NPI number | 1194078634 |
|---|---|
| LBN Legal business name | Johnson, Abigail Anne |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2012 |
| Last updated | Oct 6th, 2015 - about 11 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 | 1194078634 | NPPES |
| Indiana | MEDICAID | 201080690 | |
| Indiana | Other | 23002329A |
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