Johnson, Jacqueline Anita
Johnson, Jacqueline Anita is an sole proprietor health care provider with primary practice located at 1233 Main St , Holyoke MA 01040-5381. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Jacqueline Anita can be contacted via phone (413) 493-2082.Contact Information
Primary practice address
1233 Main St
Holyoke MA 01040-5381
Phone: (413) 493-2082
Fax: (413) 539-2436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1861742819 |
|---|---|
| LBN Legal business name | Johnson, Jacqueline Anita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861742819 | NPPES |
| Massachusetts | MEDICAID | 1629062906 |
Popular Providers
-
Sleboda, Stephen
94 Suffolk St , Holyoke MA 01040-4458 -
Allen, Ernest
1233 Main St , Holyoke MA 01040-5381 -
Golembiewski, Lisa Ann
1233 Main St , Holyoke MA 01040-5381 -
O'Brien, John Joseph
1233 Main St , Holyoke MA 01040-5381 -
Chaput, Carolyn
94 Suffolk St , Holyoke MA 01040-4458 -
Bono, Martin
1233 Main St , Holyoke MA 01040-5381 -
Samuels, Shannon M
1233 Main St , Holyoke MA 01040 -
Curtis, Melissa
1233 Main St , Holyoke MA 01040-5381