Ronald Bruce Johnson in Lodi - Clinical

Ronald Bruce Johnson - NPI 1598701906

Ronald Bruce Johnson is a Clinical in Lodi, Wisconsin. Ronald Bruce Johnson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald Bruce Johnson is 1598701906. The last update date is 2013-03-18.

Ronald Bruce Johnson's current location address is 336 Lodi St, Lodi, Wisconsin. You can contact this provider via phone number 6085922080 and fax number 6085927120. The mailing address for Ronald Bruce Johnson is 336 Lodi St, Lodi, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Bruce Johnson
Address 336 Lodi St, Lodi, Wisconsin
Phone Number 6085922080
Fax Number 6085927120
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1598701906
Provider Enumeration Date 2006-06-22
Last Updated Date 2013-03-18

Provider Mailing Address Detail

Address 336 Lodi St
City Lodi
State Wisconsin (WI)
Post Code 535551418
Phone Number 6085922080
Fax Number 6085927120

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2177-057
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39127800 WI --

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FAQs about Ronald Bruce Johnson

What is the unique 10-digit identifier code issued to Ronald Bruce Johnson by the Centers for Medicare & Medicaid Services?

The Ronald Bruce Johnson has been assigned the NPI (National Provider Identifier) 1598701906 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Ronald Bruce Johnson is located?

The Ronald Bruce Johnson is situated at the following address: 336 Lodi St, Lodi, WI, 535551418.

What is Ronald Bruce Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ronald Bruce Johnson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date was the 1598701906 assigned to Ronald Bruce Johnson?

The Ronald Bruce Johnson was issued its 1598701906 on 2006-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Ronald Bruce Johnson most recently updated or refreshed?

The details pertaining to the Ronald Bruce Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-18.

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