Sandra Faye Johnson


Address: 31000 Lasher Rd, Suite 8, Beverly Hills, MI 48025
Phone: 2487236626

Sandra Faye Johnson (NPI# 1144261892, PAC ID# 6709876238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1144261892
PAC ID by PECOS 6709876238
Professional Enrollment ID I20040515000432
Full Name Sandra Faye Johnson
Address 31000 Lasher Rd
Suite 8
Beverly Hills
MI 48025
Phone Number 2487236626
Gender F
Credential CSW
Graduation Year 1978
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
31000 Lasher Rd, Suite 8, Beverly Hills, MI 48025 2487236626

Organization Information

Office Location

Street Address 31000 LASHER RD
SUITE 8
City BEVERLY HILLS
State MI
Zip 48025

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Competitor

Search similar physicians

City BEVERLY HILLS
Zip Code 48025
Specialty CLINICAL SOCIAL WORKER
City + Specialty BEVERLY HILLS + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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