Individual
DONNA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137223
ANTHEM
OH
01
—
010048593
RAILROAD
OH
05
—
0883441
—
OH
01
—
341713667028
CARESOURCE
OH
01
—
45-00027
UNITED HEALTHCARE
OH
01
—
61248
QUALCHOICE
OH
Enumeration date
09/20/2005
Last updated
06/11/2014
Update your record
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