Johnson, Richard L

Johnson, Richard L is an individual health care provider with primary practice located at 3701 Power Inn Rd Ste 3100 , Sacramento CA 95826-4351. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Doula, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Johnson, Richard L can be contacted via phone (800) 707-3358.

Contact Information

Primary practice address
3701 Power Inn Rd Ste 3100 Sacramento CA 95826-4351
Phone: (800) 707-3358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1366226995
LBN Legal business name Johnson, Richard L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about last year

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 1366226995 NPPES
California MEDICAID 1629738653

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