Bridget Renee Johnson

Contractor · Tustin, MI

Individual Active NPI

NPI number 1578833919

Practice location

20090 210TH Ave
Tustin, MI 49688-8210
Phone
(231) 829-5095

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NPI record

NPI
1578833919
Entity type
Individual (Type 1)
Enumeration date
January 2, 2012
Last updated
January 2, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X AF670251586 MI

About Bridget Johnson

Bridget Renee Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 20090 210TH Ave, Tustin, MI 49688-8210. The NPI number 1578833919 was assigned on January 2, 2012 and the record was last updated on January 2, 2012.

Bridget Johnson lists a license in the registry: #AF670251586 (MI) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bridget Renee Johnson?

The NPI number is 1578833919.

What is the phone number of Bridget Johnson?

The phone number listed for the practice location is (231) 829-5095.

Where is Bridget Johnson located?

20090 210TH Ave, Tustin, MI 49688-8210.

What is the taxonomy code for Bridget Johnson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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