Johnson, Ilyasah Q
Johnson, Ilyasah Q is an sole proprietor health care provider with primary practice located at 115 Philadelphia Ave Ste B #224, Egg Harbor City NJ 08215-1200. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is her primary health care specialty. Johnson, Ilyasah Q can be contacted via phone (856) 202-6243.Contact Information
Primary practice address
115 Philadelphia Ave Ste B #224
Egg Harbor City NJ 08215-1200
Phone: (856) 202-6243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | NA200036261 | New Jersey |
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | 5460-23 | New Jersey |
Profile Details
| NPI number | 1326859570 |
|---|---|
| LBN Legal business name | Johnson, Ilyasah Q |
| Credentials | CNA,PBT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2025 |
| Last updated | Jan 27th, 2025 - about last year |
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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