Individual
DR. JO BERNICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 LINCOLN ST STE 200, SACO, ME 04072-3113
(207) 283-3676
(207) 283-3677
Mailing address
333 LINCOLN ST STE 200, SACO, ME 04072-3113
(207) 283-3676
(207) 283-3677
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
009193
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001617
BCBS
ME
05
—
223570000
—
ME
Enumeration date
07/14/2006
Last updated
08/09/2024
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