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NPI Code Detail

MEDICARE: SABRINA S JOHNSON

MEDICARE:   SABRINA S JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1225842370
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA S JOHNSON
Provider Business Mailing Address
First Line : 117 S MAIN ST
Second Line :
City : NORTH FAIRFIELD
State : OH
Zip : 44855-9520
Country : US
Telephone Number : 419-677-6976
Fax Number :
Provider Business Practice Location Address
First Line : 117 S MAIN ST
Second Line :
City : NORTH FAIRFIELD
State : OH
Zip : 44855-9520
Country : US
Telephone Number : 419-677-6976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2025
Last Update Date : 02/06/2025

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Directions to “ SABRINA S JOHNSON ” Practice Location

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