Johnson, Matthew

Johnson, Matthew is an individual health care provider with primary practice located at 504 S Hays Ave Apt 5 , Carbondale IL 62901-2631. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Johnson, Matthew can be contacted via phone (320) 224-8581.

Contact Information

Primary practice address
504 S Hays Ave Apt 5 Carbondale IL 62901-2631
Phone: (320) 224-8581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1265845945
LBN Legal business name Johnson, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 11 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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