Johnson, Sophia Kaye

Johnson, Sophia Kaye is an individual health care provider with primary practice located at 3165 Wa-20 Suite#1 , Oak Harbor WA 98277. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Sophia Kaye can be contacted via phone (360) 697-7676.

Contact Information

Primary practice address
3165 Wa-20 Suite#1 Oak Harbor WA 98277
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO60488344 Washington

Profile Details

NPI number 1972004703
LBN Legal business name Johnson, Sophia Kaye
Credentials CDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972004703 NPPES
Other CO60488344 WASHINGTON STATE DEPARTMENT OF HEALTH
Other CO60488344 WASHINGTON STATE DEPARTMENT OF HEALTH

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