Johnson, Debora L
Johnson, Debora L is an sole proprietor health care provider with primary practice located at 1700 Alameda St , Pomona CA 91768-1727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Debora L can be contacted via phone (909) 397-9247.Contact Information
Primary practice address
1700 Alameda St
Pomona CA 91768-1727
Phone: (909) 397-9247
Fax: (909) 397-9248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU1411 | California |
Profile Details
| NPI number | 1972658862 |
|---|---|
| LBN Legal business name | Johnson, Debora L |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972658862 | NPPES |
| California | MEDICAID | AU0014110 |
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