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Contact Information

SAMUEL L JOHNSON III, CAC, CCGC
2439 MANHATTAN BLVD STE 102-4
HARVEY, LA70058-5473
 Phone: 504-261-4976
 Fax: 504-766-8457
 Website:
Indicates primary specialty

NPI Profile & details for SAMUEL L JOHNSON III · (Male)

NPI Number 1184095556
Status Active
Credentials CAC, CCGC
Entity Individual
Enumeration date 10/12/2015
Last updated 01/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 010494439
  • LA License # 1603
  • LA License # 5006
  • LA Other 461582868 461582868
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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