Johnson, Nicole Janine
Johnson, Nicole Janine is an sole proprietor health care provider with primary practice located at 10510 Gravelly Lake Dr Sw , Lakewood WA 98499-5036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Nicole Janine can be contacted via phone (253) 589-7030.Contact Information
Primary practice address
10510 Gravelly Lake Dr Sw
Lakewood WA 98499-5036
Phone: (253) 589-7030
Fax: (253) 589-7033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125-055020 | Illinois |
Profile Details
| NPI number | 1992961254 |
|---|---|
| LBN Legal business name | Johnson, Nicole Janine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2008 |
| Last updated | Dec 7th, 2015 - about 9 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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