Johnson, Stephanie M

Johnson, Stephanie M is an sole proprietor health care provider with primary practice located at 301 Henry St , North Vernon IN 47265-1030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Stephanie M can be contacted via phone (812) 352-4454.

Contact Information

Primary practice address
301 Henry St North Vernon IN 47265-1030
Phone: (812) 352-4454
Fax: (812) 418-4230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01054624A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01054624A Indiana

Profile Details

NPI number 1659368629
LBN Legal business name Johnson, Stephanie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Apr 21st, 2015 - about 10 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 1659368629 NPPES
Indiana MEDICAID 200349990A

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