Johnson, Jacob

Johnson, Jacob is an sole proprietor health care provider with primary practice located at 413 Salvo Ct , Holly Ridge NC 28445-8609. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Johnson, Jacob can be contacted via phone (573) 201-6504.

Contact Information

Primary practice address
413 Salvo Ct Holly Ridge NC 28445-8609
Phone: (573) 201-6504
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1588273999
LBN Legal business name Johnson, Jacob
Credentials SOIDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 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.

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