Johnson, Allen Jerome
Johnson, Allen Jerome is an sole proprietor health care provider with primary practice located at 14162 Commerce Ave Ne , Prior Lake MN 55372-1480. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Allen Jerome can be contacted via phone (952) 447-1117.Contact Information
Primary practice address
14162 Commerce Ave Ne
Prior Lake MN 55372-1480
Phone: (952) 447-1117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301018 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 99111062 | South Dakota |
Profile Details
| NPI number | 1922424407 |
|---|---|
| LBN Legal business name | Johnson, Allen Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2014 |
| Last updated | Mar 9th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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