Johnson, Jake

Johnson, Jake is an individual health care provider with primary practice located at 812 University St , Pella IA 50219-1902. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Johnson, Jake can be contacted via phone (877) 462-3687.

Contact Information

Primary practice address
812 University St Pella IA 50219-1902
Phone: (877) 462-3687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1144708652
LBN Legal business name Johnson, Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 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.

Request for update

Popular Providers