Johnson, Nicole Marie
Johnson, Nicole Marie is an sole proprietor health care provider with primary practice located at 7302 S Bingham Junction Blvd , Midvale UT 84047-4804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Nicole Marie can be contacted via phone (801) 442-5502.Contact Information
Primary practice address
7302 S Bingham Junction Blvd
Midvale UT 84047-4804
Phone: (801) 442-5502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 8975784-1206 | Utah |
Profile Details
| NPI number | 1033414248 |
|---|---|
| LBN Legal business name | Johnson, Nicole Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2011 |
| Last updated | Jun 23rd, 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.
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