Johnson, Ellen Brigman
Johnson, Ellen Brigman is an individual health care provider with primary practice located at 107 Graham Ln , Beaufort NC 28516-9449. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Johnson, Ellen Brigman can be contacted via phone (252) 728-4422.Contact Information
Primary practice address
107 Graham Ln
Beaufort NC 28516-9449
Phone: (252) 728-4422
Fax: (252) 728-7909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Chore Provider | 372500000X | FCL-016-007 | North Carolina |
| Nursing Service Related Providers / Chore Provider | 372500000X | FCL-016-011 | North Carolina |
Profile Details
| NPI number | 1760670533 |
|---|---|
| LBN Legal business name | Johnson, Ellen Brigman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Oct 5th, 2007 - about 18 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 | 1760670533 | NPPES |
| North Carolina | MEDICAID | 7804167 | |
| North Carolina | MEDICAID | 7804168 |
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