Johnson, Nancy B

Johnson, Nancy B is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 5960, Indianapolis IN 46202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Johnson, Nancy B can be contacted via phone (317) 944-3889.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 5960 Indianapolis IN 46202
Phone: (317) 944-3889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 01035985 Indiana

Profile Details

NPI number 1962517490
LBN Legal business name Johnson, Nancy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 20th, 2020 - about 6 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 1962517490 NPPES
Kentucky MEDICAID 64881030
Kentucky MEDICAID 100066630
Kentucky MEDICAID 2654195

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