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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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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