Johnson, Erick
Johnson, Erick is an sole proprietor health care provider with primary practice located at 2201 W Dolarway Rd Ste 2 , Ellensburg WA 98926-8228. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Erick can be contacted via phone (509) 925-1000.Contact Information
Primary practice address
2201 W Dolarway Rd Ste 2
Ellensburg WA 98926-8228
Phone: (509) 925-1000
Fax: (509) 925-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 390200000X | Tennessee |
Profile Details
| NPI number | 1902104003 |
|---|---|
| LBN Legal business name | Johnson, Erick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2011 |
| Last updated | Dec 28th, 2020 - about 5 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 | 1902104003 | NPPES |
| Washington | MEDICAID | 2044049 |
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