Mr Jeremiah Edwin Johnson, RD MPH in Cannon Afb, NM

Mr Jeremiah Edwin Johnson, RD MPH is a Dietitian, Registered based in Cannon Afb, New Mexico. Mr Jeremiah Edwin Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at (575) 784-2843.

NPI number for Mr Jeremiah Edwin Johnson is 1558386979 and his current mailing address is 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558386979.

Contact Information

	Mr Jeremiah Edwin Johnson, RD MPH
	208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009
	(575) 784-2843
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremiah Edwin Johnson
Gender	Male
Speciality	Dietitian, Registered
Location	208 W Casablanca Ave, Cannon Afb, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1558386979
Provider Enumeration Date: 07/13/2006
Last Update Date: 01/23/2013

Medical Identifiers

Medical identifiers for Mr Jeremiah Edwin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558386979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (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. Mr Jeremiah Edwin 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
Mr Jeremiah Edwin Johnson, RD MPH 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009 Ph: (575) 784-2843	Mr Jeremiah Edwin Johnson, RD MPH 208 W Casablanca Ave, 27 Somdg/sgpm, Cannon Afb, NM 88103-5009 Ph: (575) 784-2843

Reviews and Comments

Dietitian, Registered in Cannon Afb, NM

Clifford J Mcarthur, MS, RDN, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 224 D L Ingram Ave W, Bldg 1408, Cannon Afb, NM 88103 Phone: 253-720-8595
Mr. Chase Chesterman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103 Phone: 575-904-3917 Fax: 575-784-6028

Mr Jeremiah Edwin Johnson, RD MPH - Dietitian in Cannon Afb, NM