Johnson, Jenifer E.

Johnson, Jenifer E. is an individual health care provider with primary practice located at 6905 E State St , Rockford IL 61108-2692. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is her primary health care specialty. Johnson, Jenifer E. can be contacted via phone (815) 397-4142.

Contact Information

Primary practice address
6905 E State St Rockford IL 61108-2692
Phone: (815) 397-4142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 500502125 Illinois

Profile Details

NPI number 1710237953
LBN Legal business name Johnson, Jenifer E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Sep 18th, 2012 - about 14 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 1710237953 NPPES
Other 500502125 IEMA DIVISION OF NUCLEAR SAFETY

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