Johnson, Sue B

Johnson, Sue B is an individual health care provider with primary practice located at 12635 N 42Nd St , Phoenix AZ 85032-7601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Sue B can be contacted via phone (602) 494-5500.

Contact Information

Primary practice address
12635 N 42Nd St Phoenix AZ 85032-7601
Phone: (602) 494-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24044 Arizona

Profile Details

NPI number 1841270618
LBN Legal business name Johnson, Sue B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1841270618 NPPES
Arizona MEDICAID 351693

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