Johnson, Greg L

Johnson, Greg L is an individual health care provider with primary practice located at 305 E Miel De Luna Ave , Tucumcari NM 88401-3810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Johnson, Greg L can be contacted via phone (575) 461-7230.

Contact Information

Primary practice address
305 E Miel De Luna Ave Tucumcari NM 88401-3810
Phone: (575) 461-7230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A-0767 New Mexico

Profile Details

NPI number 1578811527
LBN Legal business name Johnson, Greg L
Credentials MS, BPS, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2012
Last updated Aug 23rd, 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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