Johnson, Shakevia V.
Johnson, Shakevia V. is an individual health care provider with primary practice located at 1 Boston Medical Center Place , Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Johnson, Shakevia V. can be contacted via phone (617) 414-5245.Contact Information
Primary practice address
1 Boston Medical Center Place
Boston MA 02118
Phone: (617) 414-5245
Fax: (617) 414-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 55603 | Tennessee |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24841 | Mississippi |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 286906 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 286906 | Massachusetts |
Profile Details
| NPI number | 1104236850 |
|---|---|
| LBN Legal business name | Johnson, Shakevia V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2014 |
| Last updated | Feb 15th, 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 | 1104236850 | NPPES |
| Massachusetts | MEDICAID | 110171775A |
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