Johnson, Dana Ellyn

Johnson, Dana Ellyn is an sole proprietor health care provider with primary practice located at 2400 47Th Ave , Rock Island IL 61201-6964. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Dana Ellyn can be contacted via phone (715) 255-2772.

Contact Information

Primary practice address
2400 47Th Ave Rock Island IL 61201-6964
Fax:
Website:

Profile Details

NPI number 1942240692
LBN Legal business name Johnson, Dana Ellyn
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Feb 29th, 2012 - about 13 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 1942240692 NPPES
Iowa Other 0129630 CIGNA
Iowa Other F232191 CIGNA
Iowa Other 16843 CIGNA

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