Individual
EVAN THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W MAIN ST, CHILLICOTHE, OH 45601-3049
(740) 672-6627
Mailing address
410 W MAIN ST, CHILLICOTHE, OH 45601-3049
(740) 672-6627
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
TW428457
OH
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
03/13/2024
Last updated
05/30/2024
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