Johnson, Deborah M
Johnson, Deborah M is an individual health care provider with primary practice located at 4950 Essen Ln Ste 300 , Baton Rouge LA 70809-3739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Johnson, Deborah M can be contacted via phone (225) 757-0343.Contact Information
Primary practice address
4950 Essen Ln Ste 300
Baton Rouge LA 70809-3739
Phone: (225) 757-0343
Fax: (225) 757-8354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 021976 | Louisiana |
Profile Details
| NPI number | 1902809692 |
|---|---|
| LBN Legal business name | Johnson, Deborah M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 26th, 2021 - about 5 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 | 1902809692 | NPPES |
| Louisiana | Other | 1446891 | MEDICAID GROUP |
| Louisiana | MEDICAID | 1686760 | MEDICAID GROUP |
| Louisiana | Other | 5CK94 | MEDICAID GROUP |
| Louisiana | Other | 5W980CK94 | MEDICAID GROUP |
| Louisiana | Other | P00157711 | MEDICAID GROUP |
| Louisiana | Other | DB9815 | MEDICAID GROUP |
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