Johannesen, Ingrid
Johannesen, Ingrid is an sole proprietor health care provider with primary practice located at 55 Stuart Ave , Amityville NY 11701-4225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johannesen, Ingrid can be contacted via phone (631) 598-0003.Contact Information
Primary practice address
55 Stuart Ave
Amityville NY 11701-4225
Phone: (631) 598-0003
Fax: (631) 598-0003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R048607 | New York |
Profile Details
NPI number | 1740319300 |
---|---|
LBN Legal business name | Johannesen, Ingrid |
Credentials | LCSW-R |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1740319300 | NPPES |
New York | Other | P1635984 | OXFORD |
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