Johnson, Buffy Corrine

Johnson, Buffy Corrine is an individual health care provider with primary practice located at 1454 30Th St Suite 103, West Des Moines IA 50266-1305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Johnson, Buffy Corrine can be contacted via phone (515) 223-6620.

Contact Information

Primary practice address
1454 30Th St Suite 103 West Des Moines IA 50266-1305
Phone: (515) 223-6620
Fax: (515) 223-9625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 00655 Iowa

Profile Details

NPI number 1801060777
LBN Legal business name Johnson, Buffy Corrine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 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 1801060777 NPPES
Iowa MEDICAID 0665190

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