Johnson, Charles R

Johnson, Charles R is an individual health care provider with primary practice located at 4100 W 3Rd St Veterans Medical Center, Dayton OH 45428-9000. 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. Johnson, Charles R can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Veterans Medical Center Dayton OH 45428-9000
Phone: (937) 268-6511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDC II 991546 Ohio

Profile Details

NPI number 1376625384
LBN Legal business name Johnson, Charles R
Credentials LCDC II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 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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