Johnson, Bruce

Johnson, Bruce is an individual health care provider with primary practice located at 2001 Claflin Rd , Manhattan KS 66502-3415. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Johnson, Bruce can be contacted via phone (785) 587-4300.

Contact Information

Primary practice address
2001 Claflin Rd Manhattan KS 66502-3415
Phone: (785) 587-4300
Fax: (785) 587-4377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1228 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 225 Kansas

Profile Details

NPI number 1972993442
LBN Legal business name Johnson, Bruce
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2015
Last updated Oct 3rd, 2018 - about 6 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 1972993442 NPPES
Kansas MEDICAID 100106710

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