Johnson, Delaine
Johnson, Delaine is an sole proprietor health care provider with primary practice located at 132 Perry St , Trenton NJ 08618-3968. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Delaine can be contacted via phone (609) 394-8988.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1194146050 |
|---|---|
| LBN Legal business name | Johnson, Delaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2013 |
| Last updated | Dec 19th, 2013 - about 13 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 | 1194146050 | NPPES |
| New Jersey | MEDICAID | 1770796575 | |
| New Jersey | MEDICAID | 1922353572 |
Popular Providers
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132 Perry St , Trenton NJ 08618-3968