Johnican, Ida

Johnican, Ida is an sole proprietor health care provider with primary practice located at 491 S Sanga Rd , Cordova TN 38018-7686. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Johnican, Ida can be contacted via phone (901) 230-4309.

Contact Information

Primary practice address
491 S Sanga Rd Cordova TN 38018-7686
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1134732290
LBN Legal business name Johnican, Ida
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - about 4 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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