Johnson, Derrick
Johnson, Derrick is an individual health care provider with primary practice located at 4606 Lee St , Alexandria LA 71302-3235. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Johnson, Derrick can be contacted via phone (318) 441-1105.Contact Information
Primary practice address
4606 Lee St
Alexandria LA 71302-3235
Phone: (318) 441-1105
Fax: (318) 441-2251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1841723301 |
|---|---|
| LBN Legal business name | Johnson, Derrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841723301 | NPPES |
| Louisiana | MEDICAID | 1023382033 |
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