Johnson, Clarence
Johnson, Clarence is an sole proprietor health care provider with primary practice located at 1129 Morgan St. , Cleveland MS 38732. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Johnson, Clarence can be contacted via phone (662) 398-7575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S0851 | Mississippi |
Profile Details
| NPI number | 1710152178 |
|---|---|
| LBN Legal business name | Johnson, Clarence |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 18 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 | 1710152178 | NPPES |
| Mississippi | MEDICAID | 0112761 |
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