Tyreyun Johnson
Prosthetist
235 Central Ave
Edgard
, Louisiana 70049-2533
Tyreyun Johnson
Prosthetist
235 Central Ave
Edgard
, Louisiana 70049-2533
(504) 413-1099
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Tyreyun Johnson
- 235 Central Ave
- Edgard, LA
- Zip : 70049-2533
- Phone : (504) 413-1099
Second Address
- Tyreyun Johnson
- 235 Central Ave
- Edgard, LA
- Zip : 70049-2533
- Phone : (504) 413-1099
Reviews
FAQs
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What type of doctor is Tyreyun Johnson
In what state does Tyreyun Johnson practice in?
Where is Tyreyun Johnson ’s practice located?
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Is Tyreyun Johnson a sole practitioner?
Is Tyreyun Johnson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1427616960 |
|---|---|
| Provider Name | Tyreyun Johnson |
| First Address | Edgard, LA 70049-2533 |
| Second Address | Edgard, LA 70049-2533 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2019 |
| Last Update Date | 30/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.