Johnson, Star

Johnson, Star is an sole proprietor health care provider with primary practice located at 201 Thornberry Branch Ln , Daytona Beach FL 32124-3652. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Johnson, Star can be contacted via phone (386) 872-4892.

Contact Information

Primary practice address
201 Thornberry Branch Ln Daytona Beach FL 32124-3652
Phone: (386) 872-4892
Fax: (386) 256-2159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1568979235
LBN Legal business name Johnson, Star
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2018
Last updated Jan 4th, 2018 - about 7 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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