Johnson, Blake Edward

Johnson, Blake Edward is an individual health care provider with primary practice located at 1017 Selkirk Cir , Grand Forks ND 58203-4000. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Johnson, Blake Edward can be contacted via phone (701) 795-9143.

Contact Information

Primary practice address
1017 Selkirk Cir Grand Forks ND 58203-4000
Phone: (701) 795-9143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1326628272
LBN Legal business name Johnson, Blake Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2021
Last updated Apr 13th, 2021 - about 4 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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