Johnson, Wilma

Johnson, Wilma is an individual health care provider with primary practice located at 20345 W Country Club Dr Town House - 14, Aventura FL 33180-1631. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Johnson, Wilma can be contacted via phone (305) 792-2493.

Contact Information

Primary practice address
20345 W Country Club Dr Town House - 14 Aventura FL 33180-1631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1225576010
LBN Legal business name Johnson, Wilma
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2017
Last updated Feb 1st, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225576010 NPPES
Florida MEDICAID 682570296

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