Johnson, Olise

Johnson, Olise is an sole proprietor health care provider with primary practice located at 25315 Bethesda Rd , Georgetown DE 19947-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Johnson, Olise can be contacted via phone (302) 573-1247.

Contact Information

Primary practice address
25315 Bethesda Rd Georgetown DE 19947-2544
Phone: (302) 573-1247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1558965301
LBN Legal business name Johnson, Olise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558965301 NPPES
Delaware MEDICAID 000000584

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