Brunson, Johnathan Antonio

Brunson, Johnathan Antonio is an individual health care provider with primary practice located at 3011 Nc Highway 42 W Suite G, Wilson NC 27893. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brunson, Johnathan Antonio can be contacted via phone (252) 991-3985.

Contact Information

Primary practice address
3011 Nc Highway 42 W Suite G Wilson NC 27893
Phone: (252) 991-3985
Fax: (252) 991-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1124477658
LBN Legal business name Brunson, Johnathan Antonio
Credentials LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated Aug 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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