Johnson, Paulette

Johnson, Paulette is an individual health care provider with primary practice located at 1211 Ricewynn Rd , Wyncote PA 19095-2021. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnson, Paulette can be contacted via phone (215) 715-4827.

Contact Information

Primary practice address
1211 Ricewynn Rd Wyncote PA 19095-2021
Fax:
Website:

Health care specialties

Profile Details

NPI number 1700052404
LBN Legal business name Johnson, Paulette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated May 20th, 2008 - about 17 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 1700052404 NPPES
Pennsylvania MEDICAID 0019384780003

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