Johnson, Kathryn M
Johnson, Kathryn M is an sole proprietor health care provider with primary practice located at 3353 Lousma Dr Se , Wyoming MI 49548-2251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Johnson, Kathryn M can be contacted via phone (616) 248-6258.Contact Information
Primary practice address
3353 Lousma Dr Se
Wyoming MI 49548-2251
Phone: (616) 248-6258
Fax: (616) 241-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6802085815 | Michigan |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 6802085815 | Michigan |
Profile Details
| NPI number | 1770820474 |
|---|---|
| LBN Legal business name | Johnson, Kathryn M |
| Credentials | LBSW, QIDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2013 |
| Last updated | Feb 25th, 2019 - about 5 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 | 1770820474 | NPPES |
| Michigan | Other | 6802085815 | BACHELOR OF SOCIAL WORK |
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