Isaac, Angie Johnson

Isaac, Angie Johnson is an individual health care provider with primary practice located at 2013 N 36Th St , Phoenix AZ 85008-3026. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Isaac, Angie Johnson can be contacted via phone (602) 381-6100.

Contact Information

Primary practice address
2013 N 36Th St Phoenix AZ 85008-3026
Phone: (602) 381-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1760521694
LBN Legal business name Isaac, Angie Johnson
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - 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 1760521694 NPPES
Arizona Other 076869 AHCCCS PROVIDER NUMBER

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