Johnson, Deantwann

Johnson, Deantwann is an individual health care provider with primary practice located at 1126 W Foothill Blvd Suite 150, Upland CA 91786-3768. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Johnson, Deantwann can be contacted via phone (909) 982-8641.

Contact Information

Primary practice address
1126 W Foothill Blvd Suite 150 Upland CA 91786-3768
Phone: (909) 982-8641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1164826400
LBN Legal business name Johnson, Deantwann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 10 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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