Johnson, Eric
Johnson, Eric is an sole proprietor health care provider with primary practice located at 283 Grandview Ave , Wadsworth OH 44281-1160. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Johnson, Eric can be contacted via phone (330) 391-1308.Contact Information
Primary practice address
283 Grandview Ave
Wadsworth OH 44281-1160
Phone: (330) 391-1308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | SR793116 | Ohio |
Profile Details
| NPI number | 1073114773 |
|---|---|
| LBN Legal business name | Johnson, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2020 |
| Last updated | Nov 13th, 2020 - about 4 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 | 1073114773 | NPPES |
| Ohio | MEDICAID | 5213889 |
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