Johnson, Jennifer

Johnson, Jennifer is an individual health care provider with primary practice located at 211 S Poplar Ave , Pierre SD 57501-1845. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Johnson, Jennifer can be contacted via phone (605) 280-2194.

Contact Information

Primary practice address
211 S Poplar Ave Pierre SD 57501-1845
Phone: (605) 280-2194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1184077182
LBN Legal business name Johnson, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184077182 NPPES
South Dakota MEDICAID 1548336860

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