Johnson, Ewanah D
Johnson, Ewanah D is an individual health care provider with primary practice located at 1234 Napier Ave , Saint Joseph MI 49085-2112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Ewanah D can be contacted via phone (269) 983-8300.Contact Information
Primary practice address
1234 Napier Ave
Saint Joseph MI 49085-2112
Phone: (269) 983-8300
Fax: (269) 985-4535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35078873J | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301091013 | Michigan |
Profile Details
| NPI number | 1841282456 |
|---|---|
| LBN Legal business name | Johnson, Ewanah D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | May 20th, 2015 - about 11 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 | 1841282456 | NPPES |
| Ohio | MEDICAID | 2325228 | |
| Ohio | MEDICAID | 1841282456 | |
| Ohio | Other | 1538397120 | |
| Ohio | Other | 270381199 |
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