Painter, Johanna Dawn
Painter, Johanna Dawn is an sole proprietor health care provider with primary practice located at 7782 W. State Rd 46 , Greensburg IN 47240. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Painter, Johanna Dawn can be contacted via phone (812) 216-9067.Contact Information
Primary practice address
7782 W. State Rd 46
Greensburg IN 47240
Phone: (812) 216-9067
Fax: (812) 933-9048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22002819 | Indiana |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22002819A | Indiana |
Profile Details
| NPI number | 1508084237 |
|---|---|
| LBN Legal business name | Painter, Johanna Dawn |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508084237 | NPPES |
| Indiana | Other | 200606120 | RENDERING PROVIDER NUMBER |
| Indiana | MEDICAID | 200705660A | RENDERING PROVIDER NUMBER |
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