Johnson, Robin

Johnson, Robin is an sole proprietor health care provider with primary practice located at 905 School St , Clarksdale MS 38614-3721. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Johnson, Robin can be contacted via phone (662) 351-4668.

Contact Information

Primary practice address
905 School St Clarksdale MS 38614-3721
Phone: (662) 351-4668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1312561 Mississippi

Profile Details

NPI number 1073273033
LBN Legal business name Johnson, Robin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2021
Last updated Dec 17th, 2021 - about 4 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 1073273033 NPPES
Mississippi MEDICAID 621610

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