Johnson, Theodore Martin
Johnson, Theodore Martin is an sole proprietor health care provider with primary practice located at 500 Lilly Rd Ne #205, Olympia WA 98506-5195. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Theodore Martin can be contacted via phone (360) 413-8222.Contact Information
Primary practice address
500 Lilly Rd Ne #205
Olympia WA 98506-5195
Phone: (360) 413-8222
Fax: (360) 413-8205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY2977 | Washington |
Profile Details
| NPI number | 1356446777 |
|---|---|
| LBN Legal business name | Johnson, Theodore Martin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 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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