Johnson, Yulonda

Johnson, Yulonda is an sole proprietor health care provider with primary practice located at 14831 Trinity St , Detroit MI 48223-2058. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Johnson, Yulonda can be contacted via phone (313) 844-4628.

Contact Information

Primary practice address
14831 Trinity St Detroit MI 48223-2058
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1619357340
LBN Legal business name Johnson, Yulonda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2015
Last updated Jun 8th, 2015 - about 10 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 1619357340 NPPES
Michigan MEDICAID 5910644

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