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Contact Information

JEREMIAH JOHNSON, BSN
850 MAPLE ST.
MEDICAL LAKE, WA99022
 Phone: 509-565-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JEREMIAH JOHNSON · (Male)

NPI # 1669874913
Status Active
Credentials BSN
Entity Individual
Enumeration date 09/18/2014
Last updated 09/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # RN60268562
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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