DETRINETTE JOHNSON NPI 1821278490

NPI Information

NPI: 1821278490
Provider Name: DETRINETTE JOHNSON
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
6645 VINEYARD DR
BATON ROUGE, LA
ZIP 70812
Phone: (225) 358-6823
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Detrinette Johnson is a durable medical equipment medical supplies in Baton Rouge, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Detrinette Johnson NPI is 1821278490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6645 VINEYARD DR
BATON ROUGE, LA
ZIP 70812-148
Phone: (225) 358-6823
Fax: (225) 356-1498

The enumeration date for this NPI number is 11/12/2007 and was last updated on 11/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1455890	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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