Johnson, Johnathan Matthew

Johnson, Johnathan Matthew is an sole proprietor health care provider with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. 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, Johnathan Matthew can be contacted via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1346612991
LBN Legal business name Johnson, Johnathan Matthew
Credentials BA, MSPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 11 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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