Johnson, Holly N

Johnson, Holly N is an individual health care provider with primary practice located at 1706 Meridian S Suite 120, Puyallup WA 98371-7516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Johnson, Holly N can be contacted via phone (253) 848-8797.

Contact Information

Primary practice address
1706 Meridian S Suite 120 Puyallup WA 98371-7516
Fax: (253) 446-3239
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00037249 Washington

Profile Details

NPI number 1710965538
LBN Legal business name Johnson, Holly N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710965538 NPPES
Washington Other 8243396 DSHS NUMBER

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