Johnson, Carol L

Johnson, Carol L is an sole proprietor health care provider with primary practice located at 6465 Reflections Dr Suite 110, Dublin OH 43017-2355. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Carol L can be contacted via phone (614) 792-1108.

Contact Information

Primary practice address
6465 Reflections Dr Suite 110 Dublin OH 43017-2355
Fax: (614) 792-0018
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3300 Ohio

Profile Details

NPI number 1245241678
LBN Legal business name Johnson, Carol L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245241678 NPPES
Ohio MEDICAID 0604966

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