Johnson, Melvina

Johnson, Melvina is an sole proprietor health care provider with primary practice located at 534 S 6Th Ave , Mount Vernon NY 10550-4410. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Melvina can be contacted via phone (914) 665-0184.

Contact Information

Primary practice address
534 S 6Th Ave Mount Vernon NY 10550-4410
Phone: (914) 665-0184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 252171-1 New York

Profile Details

NPI number 1760500029
LBN Legal business name Johnson, Melvina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2007 - about 19 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 1760500029 NPPES
New York MEDICAID 02717971

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