Johnson, Erica M

Johnson, Erica M is an individual health care provider with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Erica M can be contacted via phone (217) 446-6410.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Phone: (217) 446-6410
Fax: (217) 477-4757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007008 Illinois

Profile Details

NPI number 1376715508
LBN Legal business name Johnson, Erica M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Dec 10th, 2008 - 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 1376715508 NPPES
Indiana MEDICAID 200895040
Indiana Other 912316

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