Johnson, Virginia
Johnson, Virginia is an individual health care provider with primary practice located at 107 Woodbine Pl Unit 775, Longview TX 75601-2912. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnson, Virginia can be contacted via phone (900) 391-8580.Contact Information
Primary practice address
107 Woodbine Pl Unit 775
Longview TX 75601-2912
Phone: (900) 391-8580
Fax: (903) 295-5803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 19258 | Texas |
Profile Details
| NPI number | 1962670638 |
|---|---|
| LBN Legal business name | Johnson, Virginia |
| Credentials | SPEECH THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2008 |
| Last updated | Feb 15th, 2008 - about 17 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 | 1962670638 | NPPES |
| Texas | MEDICAID | 4463882939 |
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