Johannsen, Jill Krista

Johannsen, Jill Krista is an individual health care provider with primary practice located at 810 E 23Rd St , Sioux Falls SD 57105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Johannsen, Jill Krista can be contacted via phone (605) 331-5890.

Contact Information

Primary practice address
810 E 23Rd St Sioux Falls SD 57105
Phone: (605) 331-5890
Fax: (605) 336-3974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1122 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1122 South Dakota

Profile Details

NPI number 1659332690
LBN Legal business name Johannsen, Jill Krista
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 25th, 2019 - about 5 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 1659332690 NPPES
Nebraska MEDICAID 46030609213
Nebraska MEDICAID 6402180
Nebraska MEDICAID 393065300

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