Johnson Brunson, Sharon Alissa

Johnson Brunson, Sharon Alissa is an sole proprietor health care provider with primary practice located at 397 Brookdale Dr , Orangeburg SC 29115-3907. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson Brunson, Sharon Alissa can be contacted via phone (803) 707-6962.

Contact Information

Primary practice address
397 Brookdale Dr Orangeburg SC 29115-3907
Phone: (803) 707-6962
Fax: (803) 937-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2255 South Carolina

Profile Details

NPI number 1407026800
LBN Legal business name Johnson Brunson, Sharon Alissa
Credentials MA CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Sep 13th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407026800 NPPES
South Carolina MEDICAID SA093

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