Johnson, Nikita Kenyetta
Johnson, Nikita Kenyetta is an sole proprietor health care provider with primary practice located at 8407 Main St Ste 3A , Ellicott City MD 21043-4867. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Johnson, Nikita Kenyetta can be contacted via phone (443) 570-5414.Contact Information
Primary practice address
8407 Main St Ste 3A
Ellicott City MD 21043-4867
Phone: (443) 570-5414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Doula | 374J00000X |
Profile Details
| NPI number | 1366084824 |
|---|---|
| LBN Legal business name | Johnson, Nikita Kenyetta |
| Credentials | CPM-S, CST-OB, PCT, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2019 |
| Last updated | Aug 19th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366084824 | NPPES |
| Maryland | MEDICAID | 000000000000000000 | |
| Maryland | Other | 000000000000000000 |
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