Johnson, Peter L

Johnson, Peter L is an sole proprietor health care provider with primary practice located at 39 Ware St , Somerville MA 02144-1540. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Peter L can be contacted via phone (617) 628-3535.

Contact Information

Primary practice address
39 Ware St Somerville MA 02144-1540
Fax: (617) 628-5222
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1023156 Massachusetts

Profile Details

NPI number 1609939966
LBN Legal business name Johnson, Peter L
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609939966 NPPES
Massachusetts Other PP0323 BLUECROSSBLUESHIELD
Massachusetts Other 384903 BLUECROSSBLUESHIELD
Massachusetts Other 081944 BLUECROSSBLUESHIELD
Massachusetts Other 1062677 BLUECROSSBLUESHIELD
Massachusetts Other A017539 BLUECROSSBLUESHIELD

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