Johnson, Joyce

Johnson, Joyce is an individual health care provider with primary practice located at 102 S Hennepin Ave , Dixon IL 61021. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Joyce can be contacted via phone (815) 285-8520.

Contact Information

Primary practice address
102 S Hennepin Ave Dixon IL 61021
Phone: (815) 285-8520
Fax: (815) 285-8903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-137459 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-137459 Illinois

Profile Details

NPI number 1033464987
LBN Legal business name Johnson, Joyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Dec 29th, 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 1033464987 NPPES
Illinois Other F400248216 MEDICARE
Illinois MEDICAID 036137459 MEDICARE
Illinois Other F400269703 MEDICARE

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