Johnson, Eric

Johnson, Eric is an individual health care provider with primary practice located at 205 Ocean Ave , Portland ME 04103-5742. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Johnson, Eric can be contacted via phone (207) 775-1335.

Contact Information

Primary practice address
205 Ocean Ave Portland ME 04103-5742
Phone: (207) 775-1335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X CC3012 Maine

Profile Details

NPI number 1043254493
LBN Legal business name Johnson, Eric
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043254493 NPPES
Maine Other 100210 BC/BS

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