Johnson, Jane Louise
Johnson, Jane Louise is an sole proprietor health care provider with primary practice located at 2627 Redwing Rd Ste 235 , Fort Collins CO 80526-6352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Jane Louise can be contacted via phone (970) 266-2678.Contact Information
Primary practice address
2627 Redwing Rd Ste 235
Fort Collins CO 80526-6352
Phone: (970) 266-2678
Fax: (970) 631-8873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 989157 | Colorado |
Profile Details
| NPI number | 1376582890 |
|---|---|
| LBN Legal business name | Johnson, Jane Louise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 23rd, 2022 - about 2 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 | 1376582890 | NPPES |
| Colorado | MEDICAID | 69785031 |
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