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Contact Information

STEPHEN M JOHNSON, MD
10300 N ILLINOIS ST STE 1040
INDIANAPOLIS, IN46290-1167
 Phone: 317-817-1765
 Fax: 317-817-1767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STEPHEN M JOHNSON · (Male)

NPI # 1770551095
Status Active
Credentials MD
Entity Individual
Enumeration date 03/11/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01027083
  • IN Medicaid 100072660A
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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