Johnson, Jace Jordan
Johnson, Jace Jordan is an sole proprietor health care provider with primary practice located at 429 W Centerton Blvd , Centerton AR 72719-8701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Johnson, Jace Jordan can be contacted via phone (918) 843-0713.Contact Information
Primary practice address
429 W Centerton Blvd
Centerton AR 72719-8701
Phone: (918) 843-0713
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | OPP00271 | Arkansas |
Profile Details
| NPI number | 1568131191 |
|---|---|
| LBN Legal business name | Johnson, Jace Jordan |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2021 |
| Last updated | Sep 8th, 2021 - 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.
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