Johnson, Ebony
Johnson, Ebony is an individual health care provider with primary practice located at 1000 W 101St Ter , Kansas City MO 64114-4556. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Johnson, Ebony can be contacted via phone (832) 737-8777.Contact Information
Primary practice address
1000 W 101St Ter
Kansas City MO 64114-4556
Phone: (832) 737-8777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1588286942 |
|---|---|
| LBN Legal business name | Johnson, Ebony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2020 |
| Last updated | Mar 26th, 2021 - about 4 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 | 1588286942 | NPPES |
| Texas | MEDICAID | 453081878 |
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