Johnson, Ronald R

Johnson, Ronald R is an sole proprietor health care provider with primary practice located at 2587 Ravenhill Dr , Fayetteville NC 28303-5451. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Ronald R can be contacted via phone (910) 323-1543.

Contact Information

Primary practice address
2587 Ravenhill Dr Fayetteville NC 28303-5451
Fax: (910) 485-1257
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3148 North Carolina

Profile Details

NPI number 1174528210
LBN Legal business name Johnson, Ronald R
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 9th, 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 1174528210 NPPES
North Carolina Other D8114 MEDCOST
North Carolina Other 2212866 MEDCOST
North Carolina Other 344242 MEDCOST
North Carolina MEDICAID 6107230 MEDCOST
North Carolina Other 046G5 MEDCOST

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