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Contact Information

MATTHEW E JOHNSON
1443 HARTFORD AVE
JOHNSTON, RI02919
 Phone: 401-273-8100
 Fax: 401-861-8696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MATTHEW E JOHNSON · (Male)

NPI # 1649738428
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2019
Last updated 03/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # CDP00775
  • RI Other CDP00775 LCDP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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