Johnson, Lydia Alice
Johnson, Lydia Alice is an individual health care provider with primary practice located at 350 New Campus Dr , Brockport NY 14420-2914. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Johnson, Lydia Alice can be contacted via phone (585) 395-5374.Contact Information
Primary practice address
350 New Campus Dr
Brockport NY 14420-2914
Phone: (585) 395-5374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 004486 | New York |
Profile Details
| NPI number | 1235859778 |
|---|---|
| LBN Legal business name | Johnson, Lydia Alice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2022 |
| Last updated | Sep 2nd, 2022 - about 2 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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