Johnson, Reginald Deon
Johnson, Reginald Deon is an individual health care provider with primary practice located at 3 Quail Hollow Ct Apt A , Glen Carbon IL 62034-2920. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Johnson, Reginald Deon can be contacted via phone (618) 954-5885.Contact Information
Primary practice address
3 Quail Hollow Ct Apt A
Glen Carbon IL 62034-2920
Phone: (618) 954-5885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | T980502029 | Missouri |
Profile Details
| NPI number | 1356029482 |
|---|---|
| LBN Legal business name | Johnson, Reginald Deon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2023 |
| Last updated | Jul 10th, 2023 - about last year |
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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