Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOMMIE EARL JOHNSON, LLMSW
Active Sole ProprietorMR. TOMMIE EARL JOHNSON, LLMSW is a 405300000X healthcare provider located in GRANDVILLE, Michigan. NPI 1255926143 is currently active in the NPPES registry. Verify at CMS.
405300000X · GRANDVILLE, MI
Registration Details
- NPI Number
- 1255926143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2021 (5.4948027946243 yrs)
- Last Updated
- Mar 3, 2021
- License
-
680115877 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3584 FAIRLANES AVE SW STE 2GRANDVILLE, MI, 494181583Browse MI providers · Browse ZIP 49418
- Phone
- 6162225300
- Fax
- 6165310447
- Primary Specialty
-
405300000X
405300000X
- Additional Specialty
- 405300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.