Johnson, Daisha

Johnson, Daisha is an sole proprietor health care provider with primary practice located at 809 W Vine St , Lima OH 45804-1054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Johnson, Daisha can be contacted via phone (419) 222-4474.

Contact Information

Primary practice address
809 W Vine St Lima OH 45804-1054
Phone: (419) 222-4474
Fax: (419) 222-7044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1366825697 Ohio
Agencies / Case Management 251B00000X

Profile Details

NPI number 1366825697
LBN Legal business name Johnson, Daisha
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2015
Last updated Jul 7th, 2015 - about 11 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 1366825697 NPPES
Ohio MEDICAID 1366825697

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