Johnson, Kathleen S
Johnson, Kathleen S is an individual health care provider with primary practice located at 69 Allen St Suite 1, Rutland VT 05701-4564. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Kathleen S can be contacted via phone (802) 775-3314.Contact Information
Primary practice address
69 Allen St Suite 1
Rutland VT 05701-4564
Phone: (802) 775-3314
Fax: (802) 775-9617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 063-0000170 | Vermont |
Profile Details
| NPI number | 1023018843 |
|---|---|
| LBN Legal business name | Johnson, Kathleen S |
| Credentials | CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 30th, 2012 - about 12 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 | 1023018843 | NPPES |
| Vermont | MEDICAID | 101-0801 |
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