Johnson, Jeffrey Scott

Johnson, Jeffrey Scott is an sole proprietor health care provider with primary practice located at 408 N Canyon St , Carlsbad NM 88220-5812. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Johnson, Jeffrey Scott can be contacted via phone (505) 234-3300.

Contact Information

Primary practice address
408 N Canyon St Carlsbad NM 88220-5812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2709 New Mexico

Profile Details

NPI number 1124164223
LBN Legal business name Johnson, Jeffrey Scott
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2007 - about 19 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 1124164223 NPPES
New Mexico MEDICAID B7485

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