Johnson, Shelley Kay
Johnson, Shelley Kay is an sole proprietor health care provider with primary practice located at 801 E Main St , Tishomingo OK 73460-2351. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Johnson, Shelley Kay can be contacted via phone (580) 371-2369.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | W081093352 | Oklahoma |
Profile Details
| NPI number | 1073859047 |
|---|---|
| LBN Legal business name | Johnson, Shelley Kay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2012 |
| Last updated | Dec 19th, 2012 - about 13 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 | 1073859047 | NPPES |
| Oklahoma | MEDICAID | 200226970A |
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