Johnson, Paul Arthur
Johnson, Paul Arthur is an sole proprietor health care provider with primary practice located at 2402 Broadmoor Dr Suite A-103, Bryan TX 77802-2847. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Johnson, Paul Arthur can be contacted via phone (979) 846-3778.Contact Information
Primary practice address
2402 Broadmoor Dr Suite A-103
Bryan TX 77802-2847
Phone: (979) 846-3778
Fax: (979) 774-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 13843 | Texas |
Profile Details
| NPI number | 1801834031 |
|---|---|
| LBN Legal business name | Johnson, Paul Arthur |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801834031 | NPPES |
| Texas | MEDICAID | 027335101 |
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