Johnson, Diane Wilson
Johnson, Diane Wilson is an sole proprietor health care provider with primary practice located at 30 Pleasant Street , Conway NH 03818-1114. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Diane Wilson can be contacted via phone (603) 447-2239.Contact Information
Primary practice address
30 Pleasant Street
Conway NH 03818-1114
Phone: (603) 447-2239
Fax: (603) 447-2239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 90 | New Hampshire |
Profile Details
| NPI number | 1629170410 |
|---|---|
| LBN Legal business name | Johnson, Diane Wilson |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Dec 18th, 2013 - about 12 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 | 1629170410 | NPPES |
| New Hampshire | MEDICAID | 30009004 |
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