Johnson, Pamela
Johnson, Pamela is an individual health care provider with primary practice located at 1105 Gregg Hwy , Aiken SC 29801. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Pamela can be contacted via phone (803) 649-1900.Contact Information
Primary practice address
1105 Gregg Hwy
Aiken SC 29801
Phone: (803) 649-1900
Fax: (803) 643-2926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1790023950 |
|---|---|
| LBN Legal business name | Johnson, Pamela |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2013 |
| Last updated | Sep 6th, 2018 - about 6 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 | 1790023950 | NPPES |
| South Carolina | Other | 570569761 | TAX ID |
| South Carolina | MEDICAID | AD01AK | TAX ID |
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