Demetrius De'shon Johnson, is a
Counselor based in Las Veas, Nevada. Demetrius De'shon Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
255 Sands Ave, 2515 S Bruce St, Las Veas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(602) 704-6917.
NPI number for Demetrius De'shon Johnson is 1093422180 and his current mailing address is 2515 S Bruce St, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093422180.
Healthcare Provider's Profile
| Full Name | Demetrius De'shon Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 255 Sands Ave, Las Veas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093422180
- Provider Enumeration Date: 10/31/2022
- Last Update Date: 10/31/2022
Medical Identifiers
Medical identifiers for Demetrius De'shon Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093422180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (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. Demetrius De'shon 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 |
|---|
Demetrius De'shon Johnson,
2515 S Bruce St,
Las Vegas, NV 89169-1773
Ph: (602) 704-6917 | Demetrius De'shon Johnson,
255 Sands Ave, 2515 S Bruce St,
Las Veas, NV 89169
Ph: (602) 704-6917 |
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