Johnson, Roberta

Johnson, Roberta is an sole proprietor health care provider with primary practice located at 1624 Boismenue Ave , Centreville IL 62207-2131. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Johnson, Roberta can be contacted via phone (618) 698-3308.

Contact Information

Primary practice address
1624 Boismenue Ave Centreville IL 62207-2131
Phone: (618) 698-3308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1366109845
LBN Legal business name Johnson, Roberta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 3 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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