Johnson, Tyrone
Johnson, Tyrone is an sole proprietor health care provider with primary practice located at 4242 Pinefield Ct , Randallstown MD 21133-5315. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Johnson, Tyrone can be contacted via phone (443) 813-1555.Contact Information
Primary practice address
4242 Pinefield Ct
Randallstown MD 21133-5315
Phone: (443) 813-1555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 225200000X | Maryland |
Profile Details
NPI number | 1396052247 |
---|---|
LBN Legal business name | Johnson, Tyrone |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 13th, 2010 |
Last updated | Sep 13th, 2010 - about 15 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 | 1396052247 | NPPES |
Maryland | Other | A3356 | PTA |
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