Toni Dejohn
Individual provider Active NPI Community Health Worker · White Cloud, MI
NPI 1306694823 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1306694823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-8171
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-8171
Other providers in White Cloud, MI
- Roni M Crisman
- James H. Davis
- Stephen Dehaan
- Paige Deitering
- Jennifer Deja
- Emily Elizabeth Derks
- Amy Marie Derus
- Heather Derwin
- Jennifer Derwin
- Detroit Bio Medical Laboratories,Inc
All providers in White Cloud, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.