Vivian Johnson in Detroit - Addiction Medicine
Vivian Johnson - NPI 1497966378
Vivian Johnson is a Addiction Medicine in Detroit, Michigan. Vivian Johnson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Vivian Johnson is 1497966378. The last update date is 2015-11-19.
Vivian Johnson's current location address is 5104 Burns St, Detroit, Michigan. You can contact this provider via phone number 3133506565. The mailing address for Vivian Johnson is 5104 Burns St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vivian Johnson |
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Address | 5104 Burns St, Detroit, Michigan |
Phone Number | 3133506565 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1497966378 |
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Provider Enumeration Date | 2007-05-24 |
Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
Address | 5104 Burns St |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482135914 |
Phone Number | 3133506565 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | 4301406538 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique 10-digit identifier code assigned to Vivian Johnson by the Centers for Medicare & Medicaid Services?
The Vivian Johnson has been issued the NPI (National Provider Identifier) 1497966378 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Vivian Johnson located?
The Vivian Johnson is located at 5104 Burns St, Detroit, MI 482135914.
What is the area of specialization for Vivian Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vivian Johnson is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497966378 to Vivian Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1497966378 to Vivian Johnson on 2007-05-24.
As of what date was the information regarding Vivian Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vivian Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-19.
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