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Contact Information

JILL C JOHNSON
17098 W WILLOW DR
PRAIRIEVILLE, LA70769-4180
 Phone: 225-810-1896
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for JILL C JOHNSON · (Female)

NPI # 1922612555
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2020
Last updated 09/01/2020 - About 6 years ago
Sole proprietor 1 Yes
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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