Johnson, Regina Annette
Johnson, Regina Annette is an sole proprietor health care provider with primary practice located at 709 Goldwood Dr , Dallas TX 75232-3955. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant. Agencies / Home Health is her primary health care specialty. Johnson, Regina Annette can be contacted via phone (214) 774-9463.Contact Information
Primary practice address
709 Goldwood Dr
Dallas TX 75232-3955
Phone: (214) 774-9463
Fax: (972) 228-1628
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | 012452 | Texas |
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 012452 | Texas |
Profile Details
NPI number | 1093956823 |
---|---|
LBN Legal business name | Johnson, Regina Annette |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 6th, 2009 |
Last updated | Mar 6th, 2009 - about 15 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 | 1093956823 | NPPES |
Texas | MEDICAID | 1760538052 |
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