Johnson, Desiree B
Johnson, Desiree B is an individual health care provider with primary practice located at 201 Woodson St Ste A , Salisbury NC 28144-3286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Desiree B can be contacted via phone (704) 639-0097.Contact Information
Primary practice address
201 Woodson St Ste A
Salisbury NC 28144-3286
Phone: (704) 639-0097
Fax: (704) 639-1389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9800923 | North Carolina |
Profile Details
| NPI number | 1013903202 |
|---|---|
| LBN Legal business name | Johnson, Desiree B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Oct 25th, 2020 - about 6 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 | 1013903202 | NPPES |
| North Carolina | MEDICAID | 8911530 |
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