Johnson, Jedidiah E.

Johnson, Jedidiah E. is an individual health care provider with primary practice located at 4688 Homer Spit Rd , Homer AK 99603-8001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Johnson, Jedidiah E. can be contacted via phone (360) 567-8238.

Contact Information

Primary practice address
4688 Homer Spit Rd Homer AK 99603-8001
Phone: (360) 567-8238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1114000130
LBN Legal business name Johnson, Jedidiah E.
Credentials HS1, IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 8th, 2013 - about 12 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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