Johnson, Shaun

Johnson, Shaun is an sole proprietor health care provider with primary practice located at 14 Ivanhoe Pl , Valley Stream NY 11580-2902. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Johnson, Shaun can be contacted via phone (917) 975-3906.

Contact Information

Primary practice address
14 Ivanhoe Pl Valley Stream NY 11580-2902
Phone: (917) 975-3906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1427224369
LBN Legal business name Johnson, Shaun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - 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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