Johnson, Jonathan M

Johnson, Jonathan M is an individual health care provider with primary practice located at 2301 Forest Lane Suite 400, Garland TX 75042. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Johnson, Jonathan M can be contacted via phone (972) 272-1633.

Contact Information

Primary practice address
2301 Forest Lane Suite 400 Garland TX 75042
Fax: (972) 487-0192
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 50715 Texas

Profile Details

NPI number 1629282009
LBN Legal business name Johnson, Jonathan M
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
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 1629282009 NPPES
Texas Other 50715 LICENSE NUMBER

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