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.
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 |
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