Smith, Johnnie
Smith, Johnnie is an individual health care provider with primary practice located at 7459 Burlington Pike , Florence KY 41042-1553. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Smith, Johnnie can be contacted via phone (859) 331-3292.Contact Information
Primary practice address
7459 Burlington Pike
Florence KY 41042-1553
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 166689 | Kentucky |
Profile Details
| NPI number | 1639590235 |
|---|---|
| LBN Legal business name | Smith, Johnnie |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2013 |
| Last updated | Apr 27th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639590235 | NPPES |
| Kentucky | Other | 610661458 | TAX ID |
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