Johnson, Tawana
Johnson, Tawana is an sole proprietor health care provider with primary practice located at 1400 Battleground Ave Suite 150A, Greensboro NC 27408-8042. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Johnson, Tawana can be contacted via phone (336) 272-1339.Contact Information
Primary practice address
1400 Battleground Ave Suite 150A
Greensboro NC 27408-8042
Phone: (336) 272-1339
Fax: (336) 510-8605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 3061 | North Carolina |
Profile Details
| NPI number | 1336366228 |
|---|---|
| LBN Legal business name | Johnson, Tawana |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Aug 10th, 2011 - about 13 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 | 1336366228 | NPPES |
| North Carolina | MEDICAID | 89085JY |
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