Johnson, Robert P

Johnson, Robert P is an individual health care provider with primary practice located at 130 E Walnut St Suite 706, Green Bay WI 54301-4239. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johnson, Robert P can be contacted via phone (920) 437-8256.

Contact Information

Primary practice address
130 E Walnut St Suite 706 Green Bay WI 54301-4239
Fax: (920) 437-1188
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4025 Wisconsin

Profile Details

NPI number 1336213529
LBN Legal business name Johnson, Robert P
Credentials CICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336213529 NPPES
Wisconsin MEDICAID 39191900

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