Johnson, Heather J.

Johnson, Heather J. is an individual health care provider with primary practice located at 1201 Pleasant Valley Rd 7Th Floor, Owensboro KY 42303-9811. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Johnson, Heather J. can be contacted via phone (270) 417-4705.

Contact Information

Primary practice address
1201 Pleasant Valley Rd 7Th Floor Owensboro KY 42303-9811
Phone: (270) 417-4705
Fax: (270) 417-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TP357 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49491 Kentucky

Profile Details

NPI number 1154767176
LBN Legal business name Johnson, Heather J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Apr 18th, 2017 - about 8 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 1154767176 NPPES
Kentucky MEDICAID 7100418510

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