Johnson, Lucille D
Johnson, Lucille D is an individual health care provider with primary practice located at 1500 Kanakanak Road , Dillingham AK 99576-0310. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Johnson, Lucille D can be contacted via phone (907) 842-4139.Contact Information
Primary practice address
1500 Kanakanak Road
Dillingham AK 99576-0310
Phone: (907) 842-4139
Fax: (907) 842-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1962782144 |
|---|---|
| LBN Legal business name | Johnson, Lucille D |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2011 |
| Last updated | Aug 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 | 1962782144 | NPPES |
| Alaska | MEDICAID | CM9470 |
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