Nathan, Johnwick

Nathan, Johnwick is an sole proprietor health care provider with primary practice located at 6736 W Carson Rd , Laveen AZ 85339-7024. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is his primary health care specialty. Nathan, Johnwick can be contacted via phone (860) 938-6845.

Contact Information

Primary practice address
6736 W Carson Rd Laveen AZ 85339-7024
Phone: (860) 938-6845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1306327770
LBN Legal business name Nathan, Johnwick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2018
Last updated Aug 23rd, 2018 - 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.

Request for update

Popular Providers