Johnson, Marla Y
Johnson, Marla Y is an sole proprietor health care provider with primary practice located at 3330 Masonic Dr , Alexandria LA 71301-3841. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Johnson, Marla Y can be contacted via phone (318) 448-6827.Contact Information
Primary practice address
3330 Masonic Dr
Alexandria LA 71301-3841
Phone: (318) 448-6827
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 714-L | Mississippi |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 21599 | Mississippi |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD.206128 | Louisiana |
Profile Details
| NPI number | 1720241102 |
|---|---|
| LBN Legal business name | Johnson, Marla Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Apr 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720241102 | NPPES |
| Alabama | MEDICAID | 177371 | |
| Alabama | MEDICAID | 07002256 |
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