Johnson, Tracy Lamont
Johnson, Tracy Lamont is an sole proprietor health care provider with primary practice located at 2924 Knight St , Shreveport LA 71105-2415. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Johnson, Tracy Lamont can be contacted via phone (318) 754-3560.Contact Information
Primary practice address
2924 Knight St
Shreveport LA 71105-2415
Phone: (318) 754-3560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | Louisiana |
Profile Details
| NPI number | 1962859132 |
|---|---|
| LBN Legal business name | Johnson, Tracy Lamont |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2016 |
| Last updated | May 18th, 2016 - about 8 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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