Johnson, Rudolph

Johnson, Rudolph is an sole proprietor health care provider with primary practice located at 6537 Reflection Dr Apt 105 , San Diego CA 92124-3111. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Johnson, Rudolph can be contacted via phone (619) 727-7797.

Contact Information

Primary practice address
6537 Reflection Dr Apt 105 San Diego CA 92124-3111
Phone: (619) 727-7797
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X California

Profile Details

NPI number 1124579545
LBN Legal business name Johnson, Rudolph
Credentials CATC1
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2016
Last updated Oct 20th, 2016 - 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.

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