Johnson, Marian Tan
Johnson, Marian Tan is an sole proprietor health care provider with primary practice located at 895 State Farm Rd Suite 504, Boone NC 28607-4917. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Marian Tan can be contacted via phone (828) 406-5584.Contact Information
Primary practice address
895 State Farm Rd Suite 504
Boone NC 28607-4917
Phone: (828) 406-5584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1475 | Tennessee |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6514 | North Carolina |
Profile Details
| NPI number | 1962558429 |
|---|---|
| LBN Legal business name | Johnson, Marian Tan |
| Credentials | MA, LPC, NCC, RPT-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Sep 16th, 2008 - about 16 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 | 1962558429 | NPPES |
| North Carolina | MEDICAID | 6103874 |
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