Johnson, Carmen Elizabeth
Johnson, Carmen Elizabeth is an individual health care provider with primary practice located at 3975 I 49 S Service Rd Suite 201, Opelousas LA 70570-0775. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Carmen Elizabeth can be contacted via phone (337) 407-2795.Contact Information
Primary practice address
3975 I 49 S Service Rd Suite 201
Opelousas LA 70570-0775
Phone: (337) 407-2795
Fax: (337) 407-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13641R | Louisiana |
Profile Details
| NPI number | 1003808346 |
|---|---|
| LBN Legal business name | Johnson, Carmen Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1003808346 | NPPES |
| Louisiana | Other | 13641R | STATE LICENSE NUIMBER |
| Louisiana | MEDICAID | 1434108 | STATE LICENSE NUIMBER |
| Louisiana | MEDICAID | 1449687 | STATE LICENSE NUIMBER |
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