Dominique Johnson, is a
Clinic/center based in Ann Arbor, Michigan. Dominique Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
4673 Washtenaw Ave, Ann Arbor, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 547-5009.
NPI number for Dominique Johnson is 1891586210 and her current mailing address is 1825 Eileen St, Ypsilanti, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891586210.
Healthcare Provider's Profile
| Full Name | Dominique Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Clinic/center |
|---|
| Location | 4673 Washtenaw Ave, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891586210
- Provider Enumeration Date: 05/15/2025
- Last Update Date: 05/15/2025
Medical Identifiers
Medical identifiers for Dominique Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891586210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dominique Johnson,
1825 Eileen St,
Ypsilanti, MI 48198-6239
Ph: (734) 644-0685 | Dominique Johnson,
4673 Washtenaw Ave,
Ann Arbor, MI 48108-1301
Ph: (734) 547-5009 |
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