Johnson, Teara
Johnson, Teara is an sole proprietor health care provider with primary practice located at 791 Magellan Dr , Fayetteville NC 28311-2014. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Johnson, Teara can be contacted via phone (910) 568-8168.Contact Information
Primary practice address
791 Magellan Dr
Fayetteville NC 28311-2014
Phone: (910) 568-8168
Fax: (910) 623-2119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1336532266 |
|---|---|
| LBN Legal business name | Johnson, Teara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2015 |
| Last updated | Jun 2nd, 2016 - about 9 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 | 1336532266 | NPPES |
| North Carolina | MEDICAID | 66601888 |
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