Johnson, Micah

Johnson, Micah is an individual health care provider with primary practice located at 27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Eye and Vision Services Providers / Technician/Technologist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Johnson, Micah can be contacted via phone (248) 436-4400.

Contact Information

Primary practice address
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5312
Phone: (248) 436-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1134713241
LBN Legal business name Johnson, Micah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2021
Last updated Jul 28th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134713241 NPPES
Michigan MEDICAID 1497760086

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