Johnson, Kadeem David

Johnson, Kadeem David is an sole proprietor health care provider with primary practice located at 35 Mark Drive , Wallingford CT 06492. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is his primary health care specialty. Johnson, Kadeem David can be contacted via phone (203) 265-0981.

Contact Information

Primary practice address
35 Mark Drive Wallingford CT 06492
Phone: (203) 265-0981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1194286005
LBN Legal business name Johnson, Kadeem David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2019
Last updated Jul 10th, 2023 - about 3 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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