Johnson-Williams, Leah Michelle

Johnson-Williams, Leah Michelle is an individual health care provider with primary practice located at 6091 Broadway , Merrillville IN 46410-2619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson-Williams, Leah Michelle can be contacted via phone (219) 763-8112.

Contact Information

Primary practice address
6091 Broadway Merrillville IN 46410-2619
Phone: (219) 763-8112
Fax: (219) 884-2547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004244A Indiana

Profile Details

NPI number 1457697898
LBN Legal business name Johnson-Williams, Leah Michelle
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Aug 14th, 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 1457697898 NPPES
Indiana MEDICAID 201160800

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