Johnson, Susanne
Johnson, Susanne is an sole proprietor health care provider with primary practice located at 728 Ogden Ave Ste E, Downers Grove IL 60515-2901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Susanne can be contacted via phone (630) 640-2980.Contact Information
Primary practice address
728 Ogden Ave Ste E
Downers Grove IL 60515-2901
Phone: (630) 640-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006253 | Illinois |
Profile Details
| NPI number | 1144237488 |
|---|---|
| LBN Legal business name | Johnson, Susanne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 11th, 2016 - about 9 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 | 1144237488 | NPPES |
| Other | IP558185 | MAGELLAN BEHAVIORAL HEALT | |
| Other | 2227588 | MAGELLAN BEHAVIORAL HEALT |
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