Johnson, Rebecca H

Johnson, Rebecca H is an individual health care provider with primary practice located at 311 S L St , Tacoma WA 98405-3720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Johnson, Rebecca H can be contacted via phone (253) 403-3481.

Contact Information

Primary practice address
311 S L St Tacoma WA 98405-3720
Phone: (253) 403-3481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X L8090 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00048662 Washington
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD00048662 Washington

Profile Details

NPI number 1619057973
LBN Legal business name Johnson, Rebecca H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619057973 NPPES
Texas MEDICAID 164372801

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