Johnson, Kevin
Johnson, Kevin is an sole proprietor health care provider with primary practice located at 1261 Roslyn Ave , Akron OH 44320-3424. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Johnson, Kevin can be contacted via phone (330) 903-6280.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1205384955 |
|---|---|
| LBN Legal business name | Johnson, Kevin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2016 |
| Last updated | Sep 12th, 2016 - about 10 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 | 1205384955 | NPPES |
| Ohio | MEDICAID | 0172284 |
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