Johnson, Julie B
Johnson, Julie B is an sole proprietor health care provider with primary practice located at 2707 Breckenridge St Suite 4, Owensboro KY 42303-1385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Julie B can be contacted via phone (270) 702-0147.Contact Information
Primary practice address
2707 Breckenridge St Suite 4
Owensboro KY 42303-1385
Phone: (270) 702-0147
Fax: (270) 215-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 105826 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 169044 | Kentucky |
Profile Details
| NPI number | 1164555207 |
|---|---|
| LBN Legal business name | Johnson, Julie B |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Aug 31st, 2016 - about 10 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 | 1164555207 | NPPES |
| Kentucky | MEDICAID | 7100285950 | |
| Kentucky | MEDICAID | 30615058 |
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