Johnson, Jerry Michael
Johnson, Jerry Michael is an individual health care provider with primary practice located at 1111 W Wellesley Ave Four Seasons Physical Therapy, Spokane WA 99205-1274. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Jerry Michael can be contacted via phone (509) 327-1578.Contact Information
Primary practice address
1111 W Wellesley Ave Four Seasons Physical Therapy
Spokane WA 99205-1274
Phone: (509) 327-1578
Fax: (509) 327-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00000931 | Washington |
Profile Details
| NPI number | 1982688529 |
|---|---|
| LBN Legal business name | Johnson, Jerry Michael |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Sep 27th, 2010 - about 16 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 | 1982688529 | NPPES |
| Washington | MEDICAID | 8345829 | |
| Washington | MEDICAID | 7025307 |
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