Johnson, Tawna Lynn

Johnson, Tawna Lynn is an sole proprietor health care provider with primary practice located at 401 Matthew St , Marietta OH 45750-1635. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Tawna Lynn can be contacted via phone (740) 376-1994.

Contact Information

Primary practice address
401 Matthew St Marietta OH 45750-1635
Fax: (740) 376-1940
Website:

Profile Details

NPI number 1932176583
LBN Legal business name Johnson, Tawna Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2015 - about 10 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 1932176583 NPPES
West Virginia MEDICAID 0069124000
West Virginia MEDICAID 74008715
West Virginia MEDICAID 2515237
West Virginia Other 0000000349540

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