Johnson, Elisabeth Courtenay

Johnson, Elisabeth Courtenay is an individual health care provider with primary practice located at 1712 South 17Th Street , Tacoma WA 98405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Johnson, Elisabeth Courtenay can be contacted via phone (253) 571-4500.

Contact Information

Primary practice address
1712 South 17Th Street Tacoma WA 98405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 00007717 Washington

Profile Details

NPI number 1154673036
LBN Legal business name Johnson, Elisabeth Courtenay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Oct 3rd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154673036 NPPES
Washington Other 18667 TPS EMPLOYEE ID

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