Johnson, Lativia Deanna
Johnson, Lativia Deanna is an sole proprietor health care provider with primary practice located at 1306 E Annie St Apt A, Tampa FL 33612-8746. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Johnson, Lativia Deanna can be contacted via phone (863) 440-2662.Contact Information
Primary practice address
1306 E Annie St Apt A
Tampa FL 33612-8746
Phone: (863) 440-2662
Fax: (813) 982-2039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 230667 | Florida |
Profile Details
| NPI number | 1629209515 |
|---|---|
| LBN Legal business name | Johnson, Lativia Deanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Jul 27th, 2009 - about 17 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 | 1629209515 | NPPES |
| Florida | MEDICAID | 000166600 | |
| Florida | MEDICAID | 000166601 |
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