Johnson, Whitney Dawn
Johnson, Whitney Dawn is an individual health care provider with primary practice located at 1706 Magnolia Way , Augusta GA 30909-9481. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Whitney Dawn can be contacted via phone (706) 210-7529.Contact Information
Primary practice address
1706 Magnolia Way
Augusta GA 30909-9481
Phone: (706) 210-7529
Fax: (706) 312-7613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001124 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 06214 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 008908 | Georgia |
Profile Details
| NPI number | 1619927357 |
|---|---|
| LBN Legal business name | Johnson, Whitney Dawn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 3rd, 2019 - about 6 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 | 1619927357 | NPPES |
| Ohio | MEDICAID | 2460804 | |
| Ohio | MEDICAID | 0156624000 | |
| Ohio | MEDICAID | 705253983A |
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