Johnson, Julie B

Johnson, Julie B is an sole proprietor health care provider with primary practice located at 2707 Breckenridge St Suite 4, Owensboro KY 42303-1385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Julie B can be contacted via phone (270) 702-0147.

Contact Information

Primary practice address
2707 Breckenridge St Suite 4 Owensboro KY 42303-1385
Phone: (270) 702-0147
Fax: (270) 215-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 105826 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 169044 Kentucky

Profile Details

NPI number 1164555207
LBN Legal business name Johnson, Julie B
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Aug 31st, 2016 - about 8 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 1164555207 NPPES
Kentucky MEDICAID 7100285950
Kentucky MEDICAID 30615058

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