Johnson, Wanda Breshae
Johnson, Wanda Breshae is an sole proprietor health care provider with primary practice located at 506 Manchester Expy Ste A13 , Columbus GA 31904-6483. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Johnson, Wanda Breshae can be contacted via phone (706) 653-9343.Contact Information
Primary practice address
506 Manchester Expy Ste A13
Columbus GA 31904-6483
Phone: (706) 653-9343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1649819129 |
|---|---|
| LBN Legal business name | Johnson, Wanda Breshae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2019 |
| Last updated | Dec 31st, 2019 - about 5 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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