Johnson, Jeffrey A
Johnson, Jeffrey A is an sole proprietor health care provider with primary practice located at 919 W Main St , Walla Walla WA 99362-2746. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Johnson, Jeffrey A can be contacted via phone (509) 525-8322.Contact Information
Primary practice address
919 W Main St
Walla Walla WA 99362-2746
Phone: (509) 525-8322
Fax: (509) 252-2982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | PS00000038 | Washington |
Profile Details
| NPI number | 1114914702 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey A |
| Credentials | LCPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jul 10th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114914702 | NPPES |
| Oregon | MEDICAID | 164988 | |
| Oregon | MEDICAID | 9035353 |
Popular Providers
-
Davis, Locke H
1700 Mccallie Ave , Chattanooga TN 37404-3023 -
King, Lynne
300 Bridge St , New Cumberland PA 17070-2144 -
Johnson, Michael Scott
762 North College Road Suite A, Twin Falls ID 83301-3382 -
Rieger, Chris Louis
24643 Red Robin Dr , Bonita Springs FL 34135-7085 -
Kenny, Mark F
66 Main St , Dobbs Ferry NY 10522-2159 -
Bissell, Michael G
3680 Westgate Center Circle , Winston Salem NC 27103-2935 -
Nunnery, Michael J
7408 Post Rd , North Kingstown RI 02852-3217 -
Holland, Patrice Lynn
2124 Ne Goldenrod Ave , Bremerton WA 98311-3914