Johnson, Annalysa M

Johnson, Annalysa M is an individual health care provider with primary practice located at 270 Bmh Physicians Office Building , Maryville TN 37804-3780. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Annalysa M can be contacted via phone (865) 546-1642.

Contact Information

Primary practice address
270 Bmh Physicians Office Building Maryville TN 37804-3780
Phone: (865) 546-1642
Fax: (833) 396-2528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2972 Tennessee

Profile Details

NPI number 1306101282
LBN Legal business name Johnson, Annalysa M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2012
Last updated Apr 15th, 2024 - about 2 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 1306101282 NPPES
Tennessee Other 6167306 BCBS
Tennessee MEDICAID Q024129 BCBS

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