Johnson, Benjamin Dawsey
Johnson, Benjamin Dawsey is an sole proprietor health care provider with primary practice located at 175 W Franklin Blvd , Gastonia NC 28052-4145. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Johnson, Benjamin Dawsey can be contacted via phone (704) 865-3525.Contact Information
Primary practice address
175 W Franklin Blvd
Gastonia NC 28052-4145
Phone: (704) 865-3525
Fax: (704) 865-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2976 | North Carolina |
Profile Details
| NPI number | 1972599934 |
|---|---|
| LBN Legal business name | Johnson, Benjamin Dawsey |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Apr 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972599934 | NPPES |
| North Carolina | MEDICAID | 6000537 | |
| North Carolina | Other | 2200253 | |
| North Carolina | Other | E4168-B0775 |
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