Johnson, Shirley Jean

Johnson, Shirley Jean is an individual health care provider with primary practice located at 2499 W Cota Dr , Bloomington IN 47403-4217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johnson, Shirley Jean can be contacted via phone (812) 337-0210.

Contact Information

Primary practice address
2499 W Cota Dr Bloomington IN 47403-4217
Phone: (812) 337-0210
Fax: (812) 337-0211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06003063A Indiana

Profile Details

NPI number 1750376661
LBN Legal business name Johnson, Shirley Jean
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jul 8th, 2007 - about 18 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 1750376661 NPPES
Indiana Other 2157141 FIRST HEALTH (CSC)

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