Johnson, Jennifer S
Johnson, Jennifer S is an sole proprietor health care provider with primary practice located at 16941 N Eagle River Loop Rd , Eagle River AK 99577-7824. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Jennifer S can be contacted via phone (907) 726-5330.Contact Information
Primary practice address
16941 N Eagle River Loop Rd
Eagle River AK 99577-7824
Phone: (907) 726-5330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Alaska | |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1588152961 |
|---|---|
| LBN Legal business name | Johnson, Jennifer S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2018 |
| Last updated | May 1st, 2018 - about 8 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 | 1588152961 | NPPES |
| Alaska | Other | 106S00000X | TRICARE |
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