Johnson, Kenneth Wayne

Johnson, Kenneth Wayne is an individual health care provider with primary practice located at 2600 Stanwell Dr Ste 220 , Concord CA 94520-4828. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Kenneth Wayne can be contacted via phone (925) 363-5000.

Contact Information

Primary practice address
2600 Stanwell Dr Ste 220 Concord CA 94520-4828
Phone: (925) 363-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1033483946
LBN Legal business name Johnson, Kenneth Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Feb 24th, 2012 - about 14 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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