Individual
MS. LOUISE M. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., LDN
Contact information
Practice address
757 NORLAND AVE, SUITE 104, CHAMBERSBURG, PA 17201-4230
(717) 217-6800
(717) 217-6900
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002232
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260041
MEDICAID GROUP #
PA
05
—
102466919 0001
—
PA
01
—
2258141
UNITED HEALTH CARE (MAMSI)
PA
01
—
50093291
CAPTIAL BLUE CROSS
PA
01
—
6288633
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
9759565
AETNA NON HMO
PA
01
—
JO2504332
HIGHMARK BLUE SHIELD
PA
01
—
P00878810
RAILROAD MEDICARE
PA
Enumeration date
03/24/2010
Last updated
02/18/2014
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