Johnson-Hooper, Tisa M.

Johnson-Hooper, Tisa M. is an individual health care provider with primary practice located at Henry Ford Health System 3031 West Grand Blvd., Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson-Hooper, Tisa M. can be contacted via phone (313) 916-2454.

Contact Information

Primary practice address
Henry Ford Health System 3031 West Grand Blvd. Detroit MI 48202
Phone: (313) 916-2454
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301075433 Michigan

Profile Details

NPI number 1134276934
LBN Legal business name Johnson-Hooper, Tisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134276934 NPPES
Other TJ075433 CHAMPUS-CHAMPUS
MEDICAID 418507510 CHAMPUS-CHAMPUS
Other TJ075433 CHAMPUS-CHAMPUS
Other 700H262280 CHAMPUS-CHAMPUS

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