Provider Information for 1104933688
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ERIKA JOHNSON
Sex: Female
NPI: 1104933688
Last Updated: 2025-02-17
Certification Date: 2025-02-17
Certification Date: 2025-02-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1104933688 | ||||||||
| Enumeration Date | 2006-08-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 831 DILLON DR RICHMOND, IN 47374-8048 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 831 DILLON DR RICHMOND, IN 47374-8048 United States Phone: 765-983-8000 | Fax:765-983-8609 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|