Johnson, Thomas
Johnson, Thomas is an sole proprietor health care provider with primary practice located at 220 S Harrison St , East Orange NJ 07018-1401. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Johnson, Thomas can be contacted via phone (973) 677-7053.Contact Information
Primary practice address
220 S Harrison St
East Orange NJ 07018-1401
Phone: (973) 677-7053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2000623 | New Jersey |
Profile Details
| NPI number | 1043876618 |
|---|---|
| LBN Legal business name | Johnson, Thomas |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2019 |
| Last updated | May 20th, 2019 - about 5 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 | 1043876618 | NPPES |
| New Jersey | MEDICAID | 0314111 | |
| New Jersey | MEDICAID | 0314129 |
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