Johnson, Samuel Gary

Johnson, Samuel Gary is an individual health care provider with primary practice located at 19 Central Ave 3Rd Floor, Oil City PA 16301-2733. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Samuel Gary can be contacted via phone (814) 678-6900.

Contact Information

Primary practice address
19 Central Ave 3Rd Floor Oil City PA 16301-2733
Phone: (814) 678-6900
Fax: (814) 678-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC003785 Pennsylvania

Profile Details

NPI number 1710999735
LBN Legal business name Johnson, Samuel Gary
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Feb 24th, 2009 - about 15 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 1710999735 NPPES
Pennsylvania Other 372735 MHN
Pennsylvania Other 1748907 MHN
Pennsylvania Other 565603 MHN

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