Johnson, Jennifer Sue

Johnson, Jennifer Sue is an individual health care provider with primary practice located at 220 Federal Ave Nw , Massillon OH 44647-5469. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Johnson, Jennifer Sue can be contacted via phone (330) 833-1091.

Contact Information

Primary practice address
220 Federal Ave Nw Massillon OH 44647-5469
Phone: (330) 833-1091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X S13138 Ohio

Profile Details

NPI number 1639666803
LBN Legal business name Johnson, Jennifer Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2018
Last updated Jun 16th, 2018 - about 6 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 1639666803 NPPES
Ohio MEDICAID 8957884

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