Johnson, Cheryl K

Johnson, Cheryl K is an individual health care provider with primary practice located at 585 W Cherry St , North Liberty IA 52317-9797. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Cheryl K can be contacted via phone (319) 626-6006.

Contact Information

Primary practice address
585 W Cherry St North Liberty IA 52317-9797
Fax: (319) 626-3400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24979 Iowa

Profile Details

NPI number 1467504597
LBN Legal business name Johnson, Cheryl K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1467504597 NPPES
Iowa Other 251280 WELLMARK
Iowa MEDICAID 1024398 WELLMARK

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