Individual
ERIC M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3291
(574) 296-3383
Mailing address
300 NORTH AVE STE 1400, BATTLE CREEK, MI 49017-3307
(269) 245-8590
(269) 245-8591
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01057061A
IN
207Y00000X
Otolaryngology Physician
Primary
4301513507
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496144
ANTHEM
IN
05
—
200415640
—
IN
01
—
P00373238
RR MEDICARE
IN
Enumeration date
01/30/2006
Last updated
03/10/2025
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