Johnson, Diane Marie
Johnson, Diane Marie is an individual health care provider with primary practice located at 5414 Savannah Rd , Saint Joseph MO 64505-1146. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Diane Marie can be contacted via phone (816) 364-4292.Contact Information
Primary practice address
5414 Savannah Rd
Saint Joseph MO 64505-1146
Phone: (816) 364-4292
Fax: (816) 364-2648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001765 | Missouri |
Profile Details
| NPI number | 1316009574 |
|---|---|
| LBN Legal business name | Johnson, Diane Marie |
| Credentials | MS, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316009574 | NPPES |
| Missouri | Other | 10001263101 | COMMUNITY HEALTH PLAN |
| Missouri | Other | 22330031 | COMMUNITY HEALTH PLAN |
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