Johnston, Edith D
Johnston, Edith D is an sole proprietor health care provider with primary practice located at 800 A St , Delta CO 81416-2627. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnston, Edith D can be contacted via phone (970) 216-5753.Contact Information
Primary practice address
800 A St
Delta CO 81416-2627
Phone: (970) 216-5753
Fax: (970) 874-2840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2162 | Colorado |
Profile Details
| NPI number | 1508974635 |
|---|---|
| LBN Legal business name | Johnston, Edith D |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Dec 15th, 2016 - about 8 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 | 1508974635 | NPPES |
| Colorado | MEDICAID | 59920874 |
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