Johnson, Wayne Michael

Johnson, Wayne Michael is an individual health care provider with primary practice located at 11050 Mt Belvedere Blvd Usa Meddac /Credentials, Fort Drum NY 13602-5004. 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, Wayne Michael can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mt Belvedere Blvd Usa Meddac /Credentials Fort Drum NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 004281 New York

Profile Details

NPI number 1720096241
LBN Legal business name Johnson, Wayne Michael
Credentials PTA, CCI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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