Johnson, Karin M
Johnson, Karin M is an sole proprietor health care provider with primary practice located at 1110 N Washington St , Naperville IL 60563-2767. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Karin M can be contacted via phone (630) 369-3690.Contact Information
Primary practice address
1110 N Washington St
Naperville IL 60563-2767
Phone: (630) 369-3690
Fax: (630) 801-1090
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071005988 | Illinois |
Profile Details
NPI number | 1699837310 |
---|---|
LBN Legal business name | Johnson, Karin M |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 16th, 2006 |
Last updated | Oct 12th, 2023 - 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 | 1699837310 | NPPES |
Illinois | Other | 2225975 | BCBS |
Illinois | Other | 364365810 | BCBS |
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