Johnson, Antqualene Lavette
Johnson, Antqualene Lavette is an individual health care provider with primary practice located at 2260 Glory Loop Bldg 1260, Fort Polk LA 71446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Antqualene Lavette can be contacted via phone (337) 531-4127.Contact Information
Primary practice address
2260 Glory Loop Bldg 1260
Fort Polk LA 71446
Phone: (337) 531-4127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1103343 |
Profile Details
| NPI number | 1720346943 |
|---|---|
| LBN Legal business name | Johnson, Antqualene Lavette |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2012 |
| Last updated | Apr 25th, 2012 - about 12 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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