Johnson, Kenneth Roger
Johnson, Kenneth Roger is an sole proprietor health care provider with primary practice located at 5757 Monclova Rd Suite 16C, Maumee OH 43537-1863. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Kenneth Roger can be contacted via phone (419) 893-0300.Contact Information
Primary practice address
5757 Monclova Rd Suite 16C
Maumee OH 43537-1863
Phone: (419) 893-0300
Fax: (419) 891-0356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1023 | Ohio |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1023 | Ohio |
Profile Details
| NPI number | 1336269356 |
|---|---|
| LBN Legal business name | Johnson, Kenneth Roger |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336269356 | NPPES |
| Ohio | MEDICAID | 0253854 |
Popular Providers
-
Gladieux, Gary F
5757 Monclova Rd Suite 10, Maumee OH 43537-1863 -
Felix, Charles George
2939 W Course Rd , Maumee OH 43537-9629 -
White, Beth A
999 Illinois Ave , Maumee OH 43537-1715 -
Gbur, Charles J
5705 Monclova Rd Suite 201, Maumee OH 43537-1875 -
Jindal, Valentina
5901 Monclova Rd , Maumee OH 43537-1855 -
Brumley, Thomas B
3509 Briarfield Blvd , Maumee OH 43537-9383 -
Magoun, Sarah Jane
520 W Sophia St , Maumee OH 43537-1848 -
Clark, Leo Jp
5705 Monclova Rd Suite 204, Maumee OH 43537-1875