Johnson, Tammy L

Johnson, Tammy L is an individual health care provider with primary practice located at 1339 Commerce Ave Suite 101, Longview WA 98632-3738. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Johnson, Tammy L can be contacted via phone (360) 425-4647.

Contact Information

Primary practice address
1339 Commerce Ave Suite 101 Longview WA 98632-3738
Fax: (360) 578-2496
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO1822 Washington

Profile Details

NPI number 1326180076
LBN Legal business name Johnson, Tammy L
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326180076 NPPES
Other 212744 212744
Other LO22314 212744
Other WA0851 212744
MEDICAID 2026979 212744

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