Johnson, Richard Matthew
Johnson, Richard Matthew is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Johnson, Richard Matthew can be contacted via phone (270) 901-5000.Contact Information
Primary practice address
380 Suwannee Trail Street
Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 782-5927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1356530109 |
|---|---|
| LBN Legal business name | Johnson, Richard Matthew |
| Credentials | SERVICE COORDINATOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Apr 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356530109 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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