Johnson, Fenimore

Johnson, Fenimore is an individual health care provider with primary practice located at 4328 W Michigan Ave , Kalamazoo MI 49006-5823. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Fenimore can be contacted via phone (269) 375-2222.

Contact Information

Primary practice address
4328 W Michigan Ave Kalamazoo MI 49006-5823
Phone: (269) 375-2222
Fax: (269) 375-6078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301001560 Michigan

Profile Details

NPI number 1720038359
LBN Legal business name Johnson, Fenimore
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 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 1720038359 NPPES
Michigan Other 0C96409 BCBSM
Michigan Other 6130469 BCBSM

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