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Contact Information

MICHELE L JOHNSON, PA
1430 TERRACE DR
TULSA, OK74104
 Phone: 918-748-8024
 Fax: 918-748-8249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELE L JOHNSON · (Female)

NPI # 1346208287
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/02/2006
Last updated 05/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 788
  • OK Medicaid 100187280A
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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