Johanson, Stacey Lynn

Johanson, Stacey Lynn is an sole proprietor health care provider with primary practice located at 66 N 180 W , Ephraim UT 84627-2130. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Johanson, Stacey Lynn can be contacted via phone (435) 283-0164.

Contact Information

Primary practice address
66 N 180 W Ephraim UT 84627-2130
Phone: (435) 283-0164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1194476895
LBN Legal business name Johanson, Stacey Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2022
Last updated Jan 13th, 2022 - about 2 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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