Johnson, Tanya Rae

Johnson, Tanya Rae is an individual health care provider with primary practice located at 2920 N Cascade Ave , Colorado Springs CO 80907-6262. She recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as her primary health care specialty. Johnson, Tanya Rae can be contacted via phone (719) 636-3937.

Contact Information

Primary practice address
2920 N Cascade Ave Colorado Springs CO 80907-6262
Phone: (719) 636-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X

Profile Details

NPI number 1790995132
LBN Legal business name Johnson, Tanya Rae
Credentials OA
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 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.

Request for update

Popular Providers