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Contact Information

SHANIKQU L JOHNSON
818 N HIGHWAY 67 STE 102A
CEDAR HILL, TX75104-2150
 Phone: 682-999-7913
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Prosthetics Case Management

1744P3200X
Indicates primary specialty

NPI Profile & details for SHANIKQU L JOHNSON · (Female)

NPI # 1245840933
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2020
Last updated 01/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
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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