Johnson, Diane Elizabeth
Johnson, Diane Elizabeth is an sole proprietor health care provider with primary practice located at 219 W Patison St , Port Hadlock WA 98339-9710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Diane Elizabeth can be contacted via phone (360) 379-8821.Contact Information
Primary practice address
219 W Patison St
Port Hadlock WA 98339-9710
Phone: (360) 379-8821
Fax: (360) 379-8821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001854 | Washington |
Profile Details
| NPI number | 1255546768 |
|---|---|
| LBN Legal business name | Johnson, Diane Elizabeth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 28th, 2011 - about 13 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 | 1255546768 | NPPES |
| Washington | MEDICAID | 7110810 |
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