Johnson, Gary Wayne

Johnson, Gary Wayne is an individual health care provider with primary practice located at 987 Nohunta Ct , Cincinnati OH 45231-2518. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Johnson, Gary Wayne can be contacted via phone (513) 301-7193.

Contact Information

Primary practice address
987 Nohunta Ct Cincinnati OH 45231-2518
Phone: (513) 301-7193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 33.023867 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 013568 Ohio

Profile Details

NPI number 1184997074
LBN Legal business name Johnson, Gary Wayne
Credentials PT, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2012
Last updated Mar 14th, 2018 - about 8 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 1184997074 NPPES
Ohio MEDICAID 0779171

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