Johnson, Alicia C
Johnson, Alicia C is an individual health care provider with primary practice located at 3900 Kresge Way Suite 46, Louisville KY 40207-4660. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Johnson, Alicia C can be contacted via phone (502) 899-3858.Contact Information
Primary practice address
3900 Kresge Way Suite 46
Louisville KY 40207-4660
Phone: (502) 899-3858
Fax: (502) 899-3878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1669659660 |
|---|---|
| LBN Legal business name | Johnson, Alicia C |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Dec 4th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669659660 | NPPES |
| Kentucky | Other | SA187 | KENTUCKY MEDICAL LICENSURE |
| Kentucky | Other | 2389 | KENTUCKY MEDICAL LICENSURE |
| Kentucky | Other | 86585 | KENTUCKY MEDICAL LICENSURE |
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