Johnson, Sue
Johnson, Sue is an individual health care provider with primary practice located at 2413 Professional Dr , Rocky Mount NC 27804-2254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Sue can be contacted via phone (252) 443-0808.Contact Information
Primary practice address
2413 Professional Dr
Rocky Mount NC 27804-2254
Phone: (252) 443-0808
Fax: (252) 451-9032
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3455 | North Carolina |
Profile Details
NPI number | 1972556785 |
---|---|
LBN Legal business name | Johnson, Sue |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | Dec 8th, 2008 - about 17 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 | 1972556785 | NPPES |
North Carolina | MEDICAID | 7212407 | |
North Carolina | Other | 195517 | |
North Carolina | Other | 5529094 | |
North Carolina | Other | 46447 |
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