Johnson, Dermaine Antwan

Johnson, Dermaine Antwan is an sole proprietor health care provider with primary practice located at 3500 Highway 39 N Apt 77 , Meridian MS 39301-1339. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Johnson, Dermaine Antwan can be contacted via phone (334) 505-7628.

Contact Information

Primary practice address
3500 Highway 39 N Apt 77 Meridian MS 39301-1339
Phone: (334) 505-7628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 5055 Mississippi

Profile Details

NPI number 1073975066
LBN Legal business name Johnson, Dermaine Antwan
Credentials CERTIFIED HAIR LOSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2016
Last updated Mar 28th, 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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