Johnson, Travis Ian
Johnson, Travis Ian is an individual health care provider with primary practice located at 5594 Aisek St. , Juneau AK 99801. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is his primary health care specialty. Johnson, Travis Ian can be contacted via phone (907) 780-3048.Contact Information
Primary practice address
5594 Aisek St.
Juneau AK 99801
Phone: (907) 780-3048
Fax: (907) 780-3053
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1841967742 |
---|---|
LBN Legal business name | Johnson, Travis Ian |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2021 |
Last updated | Aug 27th, 2021 - about 4 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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