Johnson, Joel
Johnson, Joel is an sole proprietor health care provider with primary practice located at 6228 Kingbird Manor Dr , Lithia FL 33547-5049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Joel can be contacted via phone (813) 220-9975.Contact Information
Primary practice address
6228 Kingbird Manor Dr
Lithia FL 33547-5049
Phone: (813) 220-9975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9212395 | Florida |
Profile Details
| NPI number | 1992180582 |
|---|---|
| LBN Legal business name | Johnson, Joel |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2015 |
| Last updated | Dec 4th, 2023 - about last year |
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 | 1992180582 | NPPES |
| Florida | Other | ARNP9212395 | MEDICARE LICENSE |
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