Johnson, Denise Marie

Johnson, Denise Marie is an individual health care provider with primary practice located at 646 S Waverly Rd , Holland MI 49423-9121. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johnson, Denise Marie can be contacted via phone (616) 394-6501.

Contact Information

Primary practice address
646 S Waverly Rd Holland MI 49423-9121
Fax: (616) 394-6508
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302022615 Michigan

Profile Details

NPI number 1356412282
LBN Legal business name Johnson, Denise Marie
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356412282 NPPES
Michigan Other 5302022615 RPH LICENSE NUMBER

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