Johnson, Jay Michael

Johnson, Jay Michael is an individual health care provider with primary practice located at 1500 N Patterson St , Valdosta GA 31698-6982. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Johnson, Jay Michael can be contacted via phone (229) 333-5897.

Contact Information

Primary practice address
1500 N Patterson St Valdosta GA 31698-6982
Phone: (229) 333-5897
Fax: (229) 333-5205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 3434 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001259 Georgia

Profile Details

NPI number 1942350954
LBN Legal business name Johnson, Jay Michael
Credentials MED,ATC,LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated May 23rd, 2019 - 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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