Johnson, Kathleen Sarah
Johnson, Kathleen Sarah is an sole proprietor health care provider with primary practice located at 587 Palm Canyon Dr Ste. 204 , Borrego Springs CA 92004-2630. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Johnson, Kathleen Sarah can be contacted via phone (760) 767-4047.Contact Information
Primary practice address
587 Palm Canyon Dr Ste. 204
Borrego Springs CA 92004-2630
Phone: (760) 767-4047
Fax: (760) 767-4048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | PT9855 | California |
Profile Details
| NPI number | 1851374805 |
|---|---|
| LBN Legal business name | Johnson, Kathleen Sarah |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 19th, 2011 - about 14 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 | 1851374805 | NPPES |
| California | MEDICAID | 4006834 |
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