Johnson, Barbara Jean

Johnson, Barbara Jean is an sole proprietor health care provider with primary practice located at 6248 Holly Bay Dr , Jacksonville FL 32211-3932. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Johnson, Barbara Jean can be contacted via phone (904) 535-4113.

Contact Information

Primary practice address
6248 Holly Bay Dr Jacksonville FL 32211-3932
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1790406700
LBN Legal business name Johnson, Barbara Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2022
Last updated Sep 7th, 2022 - about 2 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 1790406700 NPPES
Florida MEDICAID 87-2962765

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