Johnson, Regina Annette

Johnson, Regina Annette is an sole proprietor health care provider with primary practice located at 709 Goldwood Dr , Dallas TX 75232-3955. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant. Agencies / Home Health is her primary health care specialty. Johnson, Regina Annette can be contacted via phone (214) 774-9463.

Contact Information

Primary practice address
709 Goldwood Dr Dallas TX 75232-3955
Phone: (214) 774-9463
Fax: (972) 228-1628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 012452 Texas
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 012452 Texas

Profile Details

NPI number 1093956823
LBN Legal business name Johnson, Regina Annette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093956823 NPPES
Texas MEDICAID 1760538052

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