Johnnie, Emmanuel
Johnnie, Emmanuel is an sole proprietor health care provider with primary practice located at 2325 Clement Ave , Alameda CA 94501-7061. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnnie, Emmanuel can be contacted via phone (510) 629-6300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083900633 |
|---|---|
| LBN Legal business name | Johnnie, Emmanuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Jun 22nd, 2011 - about 14 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 | 1083900633 | NPPES |
| California | MEDICAID | 0168 |
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