Johnson, Glen Lee
Johnson, Glen Lee is an sole proprietor health care provider with primary practice located at 5123 N Royal Dr , Traverse City MI 49684-9201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Glen Lee can be contacted via phone (231) 929-7358.Contact Information
Primary practice address
5123 N Royal Dr
Traverse City MI 49684-9201
Phone: (231) 929-7358
Fax: (231) 935-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301006001 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7155 | Florida |
Profile Details
| NPI number | 1992758353 |
|---|---|
| LBN Legal business name | Johnson, Glen Lee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 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.
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