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Contact Information

SHANTA M JOHNSON, CCMA
113 22ND AVENUE SW
BIRMINGHAM, AL35215
 Phone: 850-737-7392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for SHANTA M JOHNSON · (Female)

NPI # 1548751340
Status Active
Credentials CCMA
Entity Individual
Enumeration date 05/29/2018
Last updated 04/30/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 000000000
  • AL License # 18023894
  • AL Medicaid 824882016
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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