Ruth E Johnson
Individual provider Active NPI Counselor · Metropolis, IL
NPI 1821150475 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821150475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 206 West 5TH
Metropolis, IL 62960 - Phone
- (618) 524-9368
- Fax
- (618) 524-9551
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
206 West 5TH
Metropolis, IL 62960
Mailing address
206 West 5TH
Metropolis, IL 62960
Phone (618) 524-9368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006415003 | Other | BCBS |
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.