Johnson, Rodney Jamar
Johnson, Rodney Jamar is an sole proprietor health care provider with primary practice located at 14384 W Maui Ln , Surprise AZ 85379-8529. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Johnson, Rodney Jamar can be contacted via phone (623) 556-9009.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL10660H | Arizona |
Profile Details
| NPI number | 1134617046 |
|---|---|
| LBN Legal business name | Johnson, Rodney Jamar |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2018 |
| Last updated | Apr 25th, 2018 - about 6 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 | 1134617046 | NPPES |
| Arizona | MEDICAID | 360398 |
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