SearchIndiana103K00000X

Ernest Johnson

NPI 1841662749 · on the registry since 2015 · sole proprietor

Practice

Address
1300 S Ebright St
Muncie, IN 47302
Phone
(765) 215-0205

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana