Johnston, Ray Thomas
Johnston, Ray Thomas is an sole proprietor health care provider with primary practice located at 207A Blount St , Nacogdoches TX 75965-3541. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnston, Ray Thomas can be contacted via phone (936) 569-8570.Contact Information
Primary practice address
207A Blount St
Nacogdoches TX 75965-3541
Phone: (936) 569-8570
Fax: (936) 560-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10482 | Texas |
Profile Details
| NPI number | 1811026511 |
|---|---|
| LBN Legal business name | Johnston, Ray Thomas |
| Credentials | L.C.S.W., S.A.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1811026511 | NPPES |
| Texas | MEDICAID | 089263002 |
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