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Contact Information

TARA B JOHNSON, MS, RD, LD
4301 WILSON STREET
REYNOLDS ARMY COMMUNITY HOSPITAL
FORT SILL, OK75303
 Phone: 580-558-2825
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TARA B JOHNSON · (Female)

NPI # 1669741526
Status Active
Credentials MS, RD, LD
Entity Individual
Enumeration date 12/22/2011
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1878
  • Other 243345 ACADEMY OF LACTATION POLICY AND PRACTICE
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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