Johnson, Randall G
Johnson, Randall G is an individual health care provider with primary practice located at 3912 10Th St Se , Puyallup WA 98374-2188. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Randall G can be contacted via phone (253) 848-4700.Contact Information
Primary practice address
3912 10Th St Se
Puyallup WA 98374-2188
Phone: (253) 848-4700
Fax: (253) 848-8897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002274 | Washington |
Profile Details
| NPI number | 1396747804 |
|---|---|
| LBN Legal business name | Johnson, Randall G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396747804 | NPPES |
| Washington | MEDICAID | 8319352 |
Popular Providers
-
Krugh, Joseph S
8011 112Th Street Ct E , Puyallup WA 98373-7814 -
Elsing, Melissa A
8011 112Th Street Ct E , Puyallup WA 98373-7814 -
Ciancio, Claude A
3912 10Th St Se , Puyallup WA 98374-2188 -
Downey, Susan R
11019 Canyon Rd E , Puyallup WA 98373-3001 -
Buell, Noelle Christine
407 14Th Ave Se , Puyallup WA 98371-0047 -
Mcewen, Shawn W
17520 Meridian E Suite F, Puyallup WA 98375-6265 -
Kabeary, Susan R
11019 Canyon Rd E Ste C, Puyallup WA 98373-3001 -
Groschel, Paul Frank
16515 Meridian E Ste 202B, Puyallup WA 98375-6251