Johnson, Demitris
Johnson, Demitris is an individual health care provider with primary practice located at 73 Westwood Dr , Park Forest IL 60466-1414. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Johnson, Demitris can be contacted via phone (708) 444-1012.Contact Information
Primary practice address
73 Westwood Dr
Park Forest IL 60466-1414
Phone: (708) 444-1012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1184147316 |
|---|---|
| LBN Legal business name | Johnson, Demitris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2017 |
| Last updated | Jul 19th, 2017 - about 8 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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