Killian, Johanna Elaine

Killian, Johanna Elaine is an individual health care provider with primary practice located at 300 E Maiden Ln , Saint Joseph MI 49085-8516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Killian, Johanna Elaine can be contacted via phone (269) 429-7546.

Contact Information

Primary practice address
300 E Maiden Ln Saint Joseph MI 49085-8516
Phone: (269) 429-7546
Fax: (269) 429-0807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003414 Michigan

Profile Details

NPI number 1114038700
LBN Legal business name Killian, Johanna Elaine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114038700 NPPES
Michigan Other 1531892018 GROUP NPI
Michigan Other 0A10115 GROUP NPI
Michigan Other CG9582 GROUP NPI

Popular Providers