Healthcare Provider Details

I. General information

NPI: 1477207835
Provider Name (Legal Business Name): MEGAN M JOHNSON HCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W 4TH AVE
WILLIAMSON WV
25661-3111
US

IV. Provider business mailing address

600 6TH AVE
HUNTINGTON WV
25701-2104
US

V. Phone/Fax

Practice location:
  • Phone: 304-235-3100
  • Fax: 513-332-9072
Mailing address:
  • Phone: 304-521-4365
  • Fax: 513-332-9072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number11217
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number262227
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1100
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: