Johnson, Diane Elizabeth
Johnson, Diane Elizabeth is an sole proprietor health care provider with primary practice located at 219 W Patison St , Port Hadlock WA 98339-9710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Diane Elizabeth can be contacted via phone (360) 379-8821.Contact Information
Primary practice address
219 W Patison St
Port Hadlock WA 98339-9710
Phone: (360) 379-8821
Fax: (360) 379-8821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001854 | Washington |
Profile Details
| NPI number | 1255546768 |
|---|---|
| LBN Legal business name | Johnson, Diane Elizabeth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 28th, 2011 - about 15 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 | 1255546768 | NPPES |
| Washington | MEDICAID | 7110810 |
Popular Providers
-
Mackinnon, Jessica Erin
884 W Park Ave , Port Townsend WA 98368-2273 -
Sullivan, James H
700 Prospect St Suite 101, Port Orchard WA 98366-5399 -
Noonberg, Aaron Ronald
7600 Osler Dr Ste 211, Towson MD 21204-7701 -
Hatt, Sean Patrick
3965 Bethel Rd Se , Port Orchard WA 98366-1976 -
Okon, Deborah Mcneil
315 W Reinken Ave Ste C, Belen NM 87002-4257 -
Wegmann, Mary Frances
618 S Peabody St Suite F, Port Angeles WA 98362-6244 -
Demoncada, Angelique Chantel
1208 Sw Harper Rd , Port Orchard WA 98367-7555 -
Little, Linda Faye
780 Mcminn Rd , Port Townsend WA 98368-9005