Johnson, Gary Brian
Johnson, Gary Brian is an individual health care provider with primary practice located at 4455 E 56Th St , Davenport IA 52807. 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, Gary Brian can be contacted via phone (563) 386-4004.Contact Information
Primary practice address
4455 E 56Th St
Davenport IA 52807
Phone: (563) 386-4004
Fax: (563) 386-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 00923 | Iowa |
Profile Details
| NPI number | 1124293980 |
|---|---|
| LBN Legal business name | Johnson, Gary Brian |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - 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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