Most Relevant Information
Provider Data
| NPI Number: | 1003335332 |
| Provider Name: | BRIAN JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/19/2017 |
| Last Updated: | 09/19/2017 |
Provider Practice Location
16 W LONG ST
COLUMBUS
OH
432152815
Practice Location Phone/Fax
| Phone: | 6142250990 |
| Fax: |
Provider Mailing Location
16 W LONG ST
COLUMBUS
OH
432152815
Provider Mailing Phone/Fax
| Phone: | 6142250990 |
| Fax: |