Healthcare Provider Details

I. General information

NPI: 1972207280
Provider Name (Legal Business Name): BRITTANY JOHNSON DO, MPH, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 S WISCONSIN ST
HOBART IN
46342-5502
US

IV. Provider business mailing address

1310 S WISCONSIN ST
HOBART IN
46342-5502
US

V. Phone/Fax

Practice location:
  • Phone: 219-942-1145
  • Fax: 219-942-8175
Mailing address:
  • Phone: 219-942-1145
  • Fax: 219-942-8175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02008891A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: