Omar Khayyam Johnson, HFA
Omar Khayyam Johnson, HFA is a Case Management Agency in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
2735 Rothe LnIndianapolis, IN 46229-5517
Phone: (317) 540-4294
Fax: (317) 434-5908
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Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X · Licence 14002332A (IN) |
|---|
Record details
| NPI number | 1245899186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | HFA |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2019 |
| Last updated in NPPES | June 12, 2019 |
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