Johnson, Deandra
Johnson, Deandra is an sole proprietor health care provider with primary practice located at 307 Bellflower Ave Nw , Canton OH 44708-5607. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Johnson, Deandra can be contacted via phone (234) 804-9552.Contact Information
Primary practice address
307 Bellflower Ave Nw
Canton OH 44708-5607
Phone: (234) 804-9552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1053072108 |
|---|---|
| LBN Legal business name | Johnson, Deandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2021 |
| Last updated | Dec 31st, 2021 - about 5 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 | 1053072108 | NPPES |
| Ohio | MEDICAID | 0230613 |
Popular Providers
-
Mclendon, Crystal A
4805 Castlebar St Nw , Canton OH 44708-2045 -
Still, Nauticah C
3116 Millvale Ave Ne , Canton OH 44705-4927 -
Fountain, Jack
2232 Times Ave Sw , Canton OH 44706-2116 -
Patterson, Sabrina
2315 41St St Ne , Canton OH 44705-2803 -
Pocci, Monica Lee
1730 Mount Vernon Blvd Nw , Canton OH 44709-2829 -
Monroe, Nikkiesha Dominique
1813 Henry Ave Sw , Canton OH 44706-2939 -
Johnson, Mikaela C
1455 Rachel St Nw Apt 24 , Canton OH 44709-2857 -
Clark, Maurice Duron
2817 Wood Owl St Ne , Canton OH 44704-2470