Johnson, Tommie Earl

Johnson, Tommie Earl is an sole proprietor health care provider with primary practice located at 3584 Fairlanes Ave Sw Ste 2 , Grandville MI 49418-1583. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Johnson, Tommie Earl can be contacted via phone (616) 222-5300.

Contact Information

Primary practice address
3584 Fairlanes Ave Sw Ste 2 Grandville MI 49418-1583
Phone: (616) 222-5300
Fax: (616) 531-0447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Other Service Providers / Prevention Professional 405300000X 680115877 Michigan

Profile Details

NPI number 1255926143
LBN Legal business name Johnson, Tommie Earl
Credentials LLMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2021
Last updated Mar 3rd, 2021 - about 4 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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