Johnson, Tia

Johnson, Tia is an sole proprietor health care provider with primary practice located at 4054 S Memorial Dr Ste Q , Winterville NC 28590-8690. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Johnson, Tia can be contacted via phone (252) 695-9011.

Contact Information

Primary practice address
4054 S Memorial Dr Ste Q Winterville NC 28590-8690
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1306506548
LBN Legal business name Johnson, Tia
Credentials HAIR LOSS SPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2021
Last updated Dec 29th, 2021 - about 5 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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