Individual
RYAN MICHAEL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3666 APOLLO ST NW, UNIONTOWN, OH 44685-9104
(330) 414-0412
Mailing address
3666 APOLLO ST NW, UNIONTOWN, OH 44685-9104
(330) 414-0412
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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