Johnson, Jeanne M
Johnson, Jeanne M is an individual health care provider with primary practice located at 160 S River Rd Suite 100, Bedford NH 03110-6927. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Jeanne M can be contacted via phone (603) 647-0494.Contact Information
Primary practice address
160 S River Rd Suite 100
Bedford NH 03110-6927
Phone: (603) 647-0494
Fax: (603) 647-0493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 8779 | New Hampshire |
Profile Details
| NPI number | 1194702662 |
|---|---|
| LBN Legal business name | Johnson, Jeanne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Apr 26th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194702662 | NPPES |
| New Hampshire | MEDICAID | 30005242 |
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