Johnson, Holly
Johnson, Holly is an sole proprietor health care provider with primary practice located at 3113 1St Ave Sw , Cedar Rapids IA 52405-4524. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Johnson, Holly can be contacted via phone (319) 560-0230.Contact Information
Primary practice address
3113 1St Ave Sw
Cedar Rapids IA 52405-4524
Phone: (319) 560-0230
Fax: (319) 298-0970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1083012066 |
|---|---|
| LBN Legal business name | Johnson, Holly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Dec 8th, 2014 - about 10 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 | 1083012066 | NPPES |
| Iowa | MEDICAID | 0101342 |
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