Johnson, Jeparis
Johnson, Jeparis is an sole proprietor health care provider with primary practice located at 10411 N College Ave , Indianapolis IN 46280-1436. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Johnson, Jeparis can be contacted via phone (317) 688-7748.Contact Information
Primary practice address
10411 N College Ave
Indianapolis IN 46280-1436
Phone: (317) 688-7748
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | 17-014066-1 | Indiana |
Profile Details
| NPI number | 1992219521 |
|---|---|
| LBN Legal business name | Johnson, Jeparis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2017 |
| Last updated | Nov 17th, 2017 - about 7 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 | 1992219521 | NPPES |
| Indiana | MEDICAID | 300008106 |
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