Johnson, David Richard

Johnson, David Richard is an sole proprietor health care provider with primary practice located at 1156 E Ridgewood Ave Suite 4, Ridgewood NJ 07450-3935. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is his primary health care specialty. Johnson, David Richard can be contacted via phone (201) 670-8443.

Contact Information

Primary practice address
1156 E Ridgewood Ave Suite 4 Ridgewood NJ 07450-3935
Phone: (201) 670-8443
Fax: (201) 612-7654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SW05189900 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 44SW05189900 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SW05189900 New Jersey
Other Service Providers / Acupuncturist 171100000X 25MZ00053200 New Jersey

Profile Details

NPI number 1497804553
LBN Legal business name Johnson, David Richard
Credentials M.S., MSAOM, L.AC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Dec 13th, 2019 - about 7 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 1497804553 NPPES
New Jersey Other 25MZ00053200 NEW JERSEY ACUPUNCTURE LICENSE NUMBER

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