Johnson, Sharon Deloris Elease
Johnson, Sharon Deloris Elease is an individual health care provider with primary practice located at 12953 Palms West Dr Suite 202, Loxahatchee FL 33470-4990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Sharon Deloris Elease can be contacted via phone (561) 791-7969.Contact Information
Primary practice address
12953 Palms West Dr Suite 202
Loxahatchee FL 33470-4990
Phone: (561) 791-7969
Fax: (561) 791-7968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9103898 | Florida |
Profile Details
| NPI number | 1861697906 |
|---|---|
| LBN Legal business name | Johnson, Sharon Deloris Elease |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Mar 9th, 2022 - about 2 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 | 1861697906 | NPPES |
| Florida | Other | PAX000748 | PRESCRIPTION LICENSE # |
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