Johnson, Michael
Johnson, Michael is an sole proprietor health care provider with primary practice located at 84 S Seaway Dr , Norton Shores MI 49444-3841. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Michael can be contacted via phone (231) 733-9800.Contact Information
Primary practice address
84 S Seaway Dr
Norton Shores MI 49444-3841
Phone: (231) 733-9800
Fax: (231) 733-1949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2-01004 | Michigan |
Profile Details
| NPI number | 1780004028 |
|---|---|
| LBN Legal business name | Johnson, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2014 |
| Last updated | Apr 25th, 2014 - about 10 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 | 1780004028 | NPPES |
| Michigan | MEDICAID | 06-1756075 |
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