Johnson, Brian R

Johnson, Brian R is an individual health care provider with primary practice located at 626 120Th Ave Ne Suite B201, Bellevue WA 98005-3077. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Johnson, Brian R can be contacted via phone (425) 556-6330.

Contact Information

Primary practice address
626 120Th Ave Ne Suite B201 Bellevue WA 98005-3077
Phone: (425) 556-6330
Fax: (425) 556-6325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00003248 Washington

Profile Details

NPI number 1104964188
LBN Legal business name Johnson, Brian R
Credentials S.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 27th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104964188 NPPES
Washington MEDICAID 8410839

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