Johnson, Linda A
Johnson, Linda A is an individual health care provider with primary practice located at 2107 Dwight Way Suite 102, Berkeley CA 94704. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Johnson, Linda A can be contacted via phone (510) 644-0104.Contact Information
Primary practice address
2107 Dwight Way Suite 102
Berkeley CA 94704
Phone: (510) 644-0104
Fax: (510) 649-0219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 516 | California |
Profile Details
| NPI number | 1104984764 |
|---|---|
| LBN Legal business name | Johnson, Linda A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 16th, 2007 - about 19 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 | 1104984764 | NPPES |
| California | MEDICAID | 7550813 |
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