Johnson, Brooke
Johnson, Brooke is an sole proprietor health care provider with primary practice located at 69 Exchange St W , Saint Paul MN 55102-1004. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Brooke can be contacted via phone (651) 232-4284.Contact Information
Primary practice address
69 Exchange St W
Saint Paul MN 55102-1004
Phone: (651) 232-4284
Fax: (651) 326-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304552 | Minnesota |
Profile Details
| NPI number | 1881127272 |
|---|---|
| LBN Legal business name | Johnson, Brooke |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2017 |
| Last updated | Apr 28th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881127272 | NPPES |
| Minnesota | MEDICAID | 20-0898277 |
Popular Providers
-
Mbangata, Noceba
550 Vandalia St , Saint Paul MN 55114-1833 -
Dunn, Mary J
1885 University Ave W Suite 246, Saint Paul MN 55104-3489 -
Fisher, Rashida Karriem
690 Cleveland Ave S Suite 150, Saint Paul MN 55116-1319 -
Gerenz, Thomas S
1351 Frost Ave , Saint Paul MN 55109-4442 -
Boone, Irving
1010 University Ave W , Saint Paul MN 55104-4746 -
Hoogheem, Lisa N
219 Robie St E , Saint Paul MN 55107-2325 -
Potempa, Nancy Ann
1749 Randolph Ave #2, Saint Paul MN 55105-2154 -
Clark, Sandra Louise
1885 University Ave W Suite 20, Saint Paul MN 55104-3489