Johnson, Heidi Ann
Johnson, Heidi Ann is an individual health care provider with primary practice located at 4778 S Scatterfield Rd , Anderson IN 46013-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Heidi Ann can be contacted via phone (765) 646-6331.Contact Information
Primary practice address
4778 S Scatterfield Rd
Anderson IN 46013-2908
Phone: (765) 646-6331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01048906A | Indiana |
Profile Details
| NPI number | 1194876318 |
|---|---|
| LBN Legal business name | Johnson, Heidi Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Oct 26th, 2022 - about 4 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 | 1194876318 | NPPES |
| Indiana | MEDICAID | 200295890A | |
| Indiana | Other | 000000313568 |
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