Johnson, Jeremiah

Johnson, Jeremiah is an sole proprietor health care provider with primary practice located at 7430 Royale Ln , Riverdale GA 30296-7223. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Jeremiah can be contacted via phone (757) 681-6803.

Contact Information

Primary practice address
7430 Royale Ln Riverdale GA 30296-7223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1346886686
LBN Legal business name Johnson, Jeremiah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2019
Last updated Nov 21st, 2019 - about 7 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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