Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Dental Assistant |
126800000X | |||
Dental Hygienist |
124Q00000X | |||
Dentist |
122300000X | |||
Mental Health |
101YM0800X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1003293218 |
| LBN Legal business name | JOHNNY CARES, INC |
| Authorized official | WILLIAM GREEN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/27/2015 |
| Last updated | 04/27/2015 - About 11 years ago |
| Identifiers | n/a |
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JOHNNY CARES, INC
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