Johnson, Theresa M
Johnson, Theresa M is an individual health care provider with primary practice located at 3511 John Platt Dr , Morehead City NC 28557-4321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Theresa M can be contacted via phone (252) 247-4297.Contact Information
Primary practice address
3511 John Platt Dr
Morehead City NC 28557-4321
Phone: (252) 247-4297
Fax: (252) 247-7383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 200301023 | North Carolina |
Profile Details
| NPI number | 1083655161 |
|---|---|
| LBN Legal business name | Johnson, Theresa M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 17th, 2010 - about 16 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 | 1083655161 | NPPES |
| North Carolina | MEDICAID | 5901347 |
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