Johnson, Jan Ronald

Johnson, Jan Ronald is an individual health care provider with primary practice located at 585 Tahoe Keys Blvd , South Lake Tahoe CA 96150-3314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Jan Ronald can be contacted via phone (530) 542-5750.

Contact Information

Primary practice address
585 Tahoe Keys Blvd South Lake Tahoe CA 96150-3314
Phone: (530) 542-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6891 California

Profile Details

NPI number 1295784510
LBN Legal business name Johnson, Jan Ronald
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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