Johnson, Karoline G
Johnson, Karoline G is an sole proprietor health care provider with primary practice located at 16425 Highway 57 , Vancleave MS 39565-9010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnson, Karoline G can be contacted via phone (228) 990-2476.Contact Information
Primary practice address
16425 Highway 57
Vancleave MS 39565-9010
Phone: (228) 990-2476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT2393 | Mississippi |
Profile Details
| NPI number | 1316233935 |
|---|---|
| LBN Legal business name | Johnson, Karoline G |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Aug 21st, 2015 - about 11 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 | 1316233935 | NPPES |
| Mississippi | MEDICAID | 09015077 | |
| Mississippi | Other | 1033218524 |
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