Johnson, Katie
Johnson, Katie is an individual health care provider with primary practice located at 4419 W Pecan St , Fayetteville AR 72704-7909. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Johnson, Katie can be contacted via phone (870) 688-1308.Contact Information
Primary practice address
4419 W Pecan St
Fayetteville AR 72704-7909
Phone: (870) 688-1308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 235580801X | Arkansas |
Profile Details
| NPI number | 1093113763 |
|---|---|
| LBN Legal business name | Johnson, Katie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2014 |
| Last updated | Dec 12th, 2014 - about 12 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 | 1093113763 | NPPES |
| Arkansas | Other | 116141743 | OUR COOP |
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