Johnson, Carol
Johnson, Carol is an individual health care provider with primary practice located at 14733 S Telegraph Rd , Monroe MI 48161-9545. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Carol can be contacted via phone (734) 243-8707.Contact Information
Primary practice address
14733 S Telegraph Rd
Monroe MI 48161-9545
Phone: (734) 243-8707
Fax: (734) 243-8707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1912184052 |
|---|---|
| LBN Legal business name | Johnson, Carol |
| Credentials | FAODP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Jan 30th, 2008 - about 17 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 | 1912184052 | NPPES |
| Ohio | MEDICAID | 2604097 |
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