Johnson, Detty Thomas

Johnson, Detty Thomas is an individual health care provider with primary practice located at 8505 Newberry Grove Dr , Apex NC 27539-7970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Detty Thomas can be contacted via phone (919) 670-7547.

Contact Information

Primary practice address
8505 Newberry Grove Dr Apex NC 27539-7970
Phone: (919) 670-7547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 251930 North Carolina

Profile Details

NPI number 1063927549
LBN Legal business name Johnson, Detty Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated Dec 6th, 2017 - about 7 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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