Johnson, Mattison Brooke
Johnson, Mattison Brooke is an sole proprietor health care provider with primary practice located at 8615 Fletcher Pkwy Unit 406 , La Mesa CA 91942-5205. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Johnson, Mattison Brooke can be contacted via phone (209) 570-6823.Contact Information
Primary practice address
8615 Fletcher Pkwy Unit 406
La Mesa CA 91942-5205
Phone: (209) 570-6823
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 696096 | California |
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1710535687 |
|---|---|
| LBN Legal business name | Johnson, Mattison Brooke |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2019 |
| Last updated | Feb 25th, 2020 - about 5 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 | 1710535687 | NPPES |
| California | Other | F5653277 | DRIVER LICENSE |
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