Johnson, Vivian A
Johnson, Vivian A is an individual health care provider with primary practice located at 43 Locust Ave S , Medford NY 11763-1664. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Johnson, Vivian A can be contacted via phone (631) 879-5780.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 448053-1 | New York |
Profile Details
| NPI number | 1396035002 |
|---|---|
| LBN Legal business name | Johnson, Vivian A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2011 |
| Last updated | Apr 14th, 2011 - about 13 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 | 1396035002 | NPPES |
| New York | MEDICAID | 448053-1 |
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