Johnson, Deandra
Johnson, Deandra is an sole proprietor health care provider with primary practice located at 307 Bellflower Ave Nw , Canton OH 44708-5607. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Johnson, Deandra can be contacted via phone (234) 804-9552.Contact Information
Primary practice address
307 Bellflower Ave Nw
Canton OH 44708-5607
Phone: (234) 804-9552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1053072108 |
|---|---|
| LBN Legal business name | Johnson, Deandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2021 |
| Last updated | Dec 31st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053072108 | NPPES |
| Ohio | MEDICAID | 0230613 |
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