1467234872 NPI number — THEORY OF EVERYTHING LLC

Table of content: KAREN ANDRE JOHNSTON PH.D. (NPI 1003044215)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467234872 NPI number — THEORY OF EVERYTHING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THEORY OF EVERYTHING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467234872
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18715 INNSBROOK DR APT 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHVILLE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48168-2457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37875 W 12 MILE RD STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48331-3053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-251-2662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MEHTA
Authorized Official First Name:
MANSI
Authorized Official Middle Name:
SHARADKUMAR
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
419-215-1539

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)