Johnson, Jane M

Johnson, Jane M is an individual health care provider with primary practice located at 9300 W Stockton Blvd Ste 200 , Elk Grove CA 95758-8070. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Jane M can be contacted via phone (916) 896-1144.

Contact Information

Primary practice address
9300 W Stockton Blvd Ste 200 Elk Grove CA 95758-8070
Phone: (916) 896-1144
Fax: (916) 896-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13359 California
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP 13359 California

Profile Details

NPI number 1851638381
LBN Legal business name Johnson, Jane M
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Dec 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851638381 NPPES
California MEDICAID 1851638381

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