Johnson, Nichelle Antoinette

Johnson, Nichelle Antoinette is an sole proprietor health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Johnson, Nichelle Antoinette can be contacted via phone (337) 531-3349.

Contact Information

Primary practice address
1585 3Rd St Fort Polk LA 71459-5102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 3309 Florida

Profile Details

NPI number 1487734299
LBN Legal business name Johnson, Nichelle Antoinette
Credentials R.D, L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Oct 26th, 2021 - about 4 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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