Johnston, Daniel Alan

Johnston, Daniel Alan is an individual health care provider with primary practice located at 115 S Washington St , Ottumwa IA 52501-2531. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Johnston, Daniel Alan can be contacted via phone (641) 682-8171.

Contact Information

Primary practice address
115 S Washington St Ottumwa IA 52501-2531
Phone: (641) 682-8171
Fax: (641) 682-9054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 001368 Iowa

Profile Details

NPI number 1891922712
LBN Legal business name Johnston, Daniel Alan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Jun 18th, 2009 - about 16 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 1891922712 NPPES
Iowa Other 20-8717967 IOWA GROUP TAX ID#
Iowa MEDICAID 0665349 IOWA GROUP TAX ID#
Iowa Other 20-8717967 IOWA GROUP TAX ID#
Iowa Other 6-6534 IOWA GROUP TAX ID#

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