Johnson, Kai
Johnson, Kai is an sole proprietor health care provider with primary practice located at 6641 Sawgrass Dr , Rockford IL 61114-8005. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Kai can be contacted via phone (779) 423-4111.Contact Information
Primary practice address
6641 Sawgrass Dr
Rockford IL 61114-8005
Phone: (779) 423-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.008222 | Illinois |
Profile Details
| NPI number | 1205198942 |
|---|---|
| LBN Legal business name | Johnson, Kai |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Apr 23rd, 2017 - about 9 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 | 1205198942 | NPPES |
| Other | 180008222 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS |
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