Johnson, Jamie J.

Johnson, Jamie J. is an sole proprietor health care provider with primary practice located at 7108 S Mascotte St , Tampa FL 33616-2719. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Jamie J. can be contacted via phone (813) 784-8062.

Contact Information

Primary practice address
7108 S Mascotte St Tampa FL 33616-2719
Phone: (813) 784-8062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW4061 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SW4061 Florida

Profile Details

NPI number 1245392927
LBN Legal business name Johnson, Jamie J.
Credentials LCSW,MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Aug 20th, 2015 - about 10 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 1245392927 NPPES
Florida MEDICAID 753931201

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