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Contact Information

EARNEST JOHNSON
1110 CLAY ST
VICKSBURG, MS39183-2912
 Phone: 601-738-5820
 Fax: 601-738-5083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for EARNEST JOHNSON · (Male)

NPI # 1386247039
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2020
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # W3091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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