Johnson, Colleen Ellen

Johnson, Colleen Ellen is an individual health care provider with primary practice located at 200 Mount Pleasant Ave Apt. D2, West Orange NJ 07052-4049. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Johnson, Colleen Ellen can be contacted via phone (973) 632-4505.

Contact Information

Primary practice address
200 Mount Pleasant Ave Apt. D2 West Orange NJ 07052-4049
Phone: (973) 632-4505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 720084 New Jersey

Profile Details

NPI number 1366797268
LBN Legal business name Johnson, Colleen Ellen
Credentials M.S,, R.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jul 17th, 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.

Request for update

Popular Providers