Johnson, Sharon D

Johnson, Sharon D is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Johnson, Sharon D can be contacted via phone (817) 569-4395.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4395
Fax: (817) 569-4517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT00080 Texas
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT00080 Texas

Profile Details

NPI number 1053475459
LBN Legal business name Johnson, Sharon D
Credentials R.D.,L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 29th, 2010 - about 15 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 1053475459 NPPES
Texas Other 8F6285 BCBS
Texas MEDICAID 145907501 BCBS

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