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
Phone: (360) 425-4647
Fax: (360) 578-2496
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326180076 | NPPES |
Other | 212744 | 212744 | |
Other | LO22314 | 212744 | |
Other | WA0851 | 212744 | |
MEDICAID | 2026979 | 212744 |
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