Johnson, Jeremy
Johnson, Jeremy is an sole proprietor health care provider with primary practice located at 3414 Curtis Dr , Suitland MD 20746-4935. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Johnson, Jeremy can be contacted via phone (202) 271-2395.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 59263 |
Profile Details
| NPI number | 1720561863 |
|---|---|
| LBN Legal business name | Johnson, Jeremy |
| Credentials | CTRS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2018 |
| Last updated | Sep 14th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720561863 | NPPES |
| Maryland | MEDICAID | 1851874051 | |
| Maryland | Other | 83-1623156 |
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