Johnson, Alicia C

Johnson, Alicia C is an individual health care provider with primary practice located at 3900 Kresge Way Suite 46, Louisville KY 40207-4660. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Johnson, Alicia C can be contacted via phone (502) 899-3858.

Contact Information

Primary practice address
3900 Kresge Way Suite 46 Louisville KY 40207-4660
Fax: (502) 899-3878
Website:

Health care specialties

Profile Details

NPI number 1669659660
LBN Legal business name Johnson, Alicia C
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2008
Last updated Dec 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669659660 NPPES
Kentucky Other SA187 KENTUCKY MEDICAL LICENSURE
Kentucky Other 2389 KENTUCKY MEDICAL LICENSURE
Kentucky Other 86585 KENTUCKY MEDICAL LICENSURE

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