Smith, Johnny Lee
Smith, Johnny Lee is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered is his primary health care specialty. Smith, Johnny Lee can be contacted via phone (601) 362-4471.Contact Information
Primary practice address
1500 E Woodrow Wilson Ave
Jackson MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered | 227900000X | RCP1286 | Mississippi |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care | 2279C0205X | RCP1286 | Mississippi |
Profile Details
NPI number | 1629310560 |
---|---|
LBN Legal business name | Smith, Johnny Lee |
Credentials | Registered Respiratory Therapist (RRT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 18th, 2013 |
Last updated | Mar 18th, 2013 - about 11 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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