Johnson, Mary Elizabeth

Johnson, Mary Elizabeth is an individual health care provider with primary practice located at 502 W Windsor Rd , Champaign IL 61820-7739. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Mary Elizabeth can be contacted via phone (217) 373-7313.

Contact Information

Primary practice address
502 W Windsor Rd Champaign IL 61820-7739
Phone: (217) 373-7313
Fax: (217) 351-3824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.003704 Illinois

Profile Details

NPI number 1295205342
LBN Legal business name Johnson, Mary Elizabeth
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Dec 3rd, 2018 - about 8 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 1295205342 NPPES
Illinois Other 363559 ISBE
Illinois Other 146.003704 ISBE

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