Johhson, Diane Lynn
Johhson, Diane Lynn is an individual health care provider with primary practice located at 423 3Rd St N , Jacksonville Beach FL 32250-7028. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Johhson, Diane Lynn can be contacted via phone (904) 247-3933.Contact Information
Primary practice address
423 3Rd St N
Jacksonville Beach FL 32250-7028
Phone: (904) 247-3933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00005720 | Florida |
Profile Details
| NPI number | 1205904539 |
|---|---|
| LBN Legal business name | Johhson, Diane Lynn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1205904539 | NPPES |
| Florida | MEDICAID | 058-286700 |
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