Johnson, Janice L

Johnson, Janice L is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Janice L can be contacted via phone (248) 259-7528.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301065574 Michigan

Profile Details

NPI number 1831284652
LBN Legal business name Johnson, Janice L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 10th, 2022 - about 3 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 1831284652 NPPES
Michigan MEDICAID 3280786

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