Johnson, Jacob
Johnson, Jacob is an sole proprietor health care provider with primary practice located at 6319 E Us Highway Suite 9, Avon IN 46123-4612. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Johnson, Jacob can be contacted via phone (317) 707-7151.Contact Information
Primary practice address
6319 E Us Highway Suite 9
Avon IN 46123-4612
Phone: (317) 707-7151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT22007253 | Indiana |
Profile Details
| NPI number | 1598368557 |
|---|---|
| LBN Legal business name | Johnson, Jacob |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Nov 20th, 2020 - about 6 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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