Johnson, Jeremy Paul

Johnson, Jeremy Paul is an sole proprietor health care provider with primary practice located at 1500 W Farwell Ave Apt 3 , Chicago IL 60626-3666. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is his primary health care specialty. Johnson, Jeremy Paul can be contacted via phone (828) 773-4739.

Contact Information

Primary practice address
1500 W Farwell Ave Apt 3 Chicago IL 60626-3666
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227016825 Illinois
Other Service Providers / Acupuncturist 171100000X 198001498 Illinois

Profile Details

NPI number 1194368779
LBN Legal business name Johnson, Jeremy Paul
Credentials LMT, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2019
Last updated Oct 25th, 2019 - about 6 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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