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Contact Information

ROEL M JOHNSON, APT
805 N GLENWOOD BLVD
TYLER, TX75702-5033
 Phone: 903-509-0800
 Fax: 903-509-0803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Other

247200000X 75 Slide Preparation Facility
 

Assistive Technology Practitioner

225CA2400X
Indicates primary specialty

NPI Profile & details for ROEL M JOHNSON · (Male)

NPI # 1912290099
Status Active
Credentials APT
Entity Individual
Enumeration date 05/23/2011
Last updated 05/23/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 00965268
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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