Individual
MS. EVELYN ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 SUSAN COURT, IRONTON, OH 45638-1411
(740) 533-3973
Mailing address
368 SUSAN COURT, IRONTON, OH 45638-1411
(740) 534-1258
(740) 534-1258
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2519813
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10397416799
—
OH
Enumeration date
04/10/2007
Last updated
07/09/2007
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