Johnson, Katie Jean

Johnson, Katie Jean is an sole proprietor health care provider with primary practice located at 1666 N Hampton Rd Suite 112, Desoto TX 75115-2390. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Katie Jean can be contacted via phone (469) 235-3477.

Contact Information

Primary practice address
1666 N Hampton Rd Suite 112 Desoto TX 75115-2390
Phone: (469) 235-3477
Fax: (469) 519-3918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19793 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 2561 Arizona

Profile Details

NPI number 1710998133
LBN Legal business name Johnson, Katie Jean
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jan 16th, 2008 - about 17 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 1710998133 NPPES
Other 7212LC BCBS
Other 7212LC BCBS
MEDICAID 1790867 BCBS
Other 7859920 BCBS

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