Johnson, Diane Miller
Johnson, Diane Miller is an sole proprietor health care provider with primary practice located at 233 Union Ave Suite 202, Holbrook NY 11741-1820. 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 Miller can be contacted via phone (631) 323-1333.Contact Information
Primary practice address
233 Union Ave Suite 202
Holbrook NY 11741-1820
Phone: (631) 323-1333
Fax: (631) 467-0080
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R026438-1 | New York |
Profile Details
NPI number | 1760570782 |
---|---|
LBN Legal business name | Johnson, Diane Miller |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1760570782 | NPPES |
New York | Other | 0051430 | GHI |
New York | Other | P2781814 | GHI |
New York | Other | 7708481 | GHI |
New York | Other | AA73458 | GHI |
New York | Other | 145905 | GHI |
New York | Other | 24294 | GHI |
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