Johnson, Richard Brian

Johnson, Richard Brian is an sole proprietor health care provider with primary practice located at 5755 W Maple Rd Suite 107, West Bloomfield MI 48322-4415. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Richard Brian can be contacted via phone (248) 626-3030.

Contact Information

Primary practice address
5755 W Maple Rd Suite 107 West Bloomfield MI 48322-4415
Fax: (248) 626-3455
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005521 Michigan

Profile Details

NPI number 1508800780
LBN Legal business name Johnson, Richard Brian
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Jul 13th, 2010 - about 14 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 1508800780 NPPES
Michigan Other 116940 SLECTCARE INSURANCE ID
Michigan MEDICAID 142932577 SLECTCARE INSURANCE ID
Michigan Other 950F32961 SLECTCARE INSURANCE ID

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