Johnson, Bryan Lowell
Johnson, Bryan Lowell is an individual health care provider with primary practice located at 3630 11Th Ave Nw , Rochester MN 55901-4276. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Bryan Lowell can be contacted via phone (507) 288-2457.Contact Information
Primary practice address
3630 11Th Ave Nw
Rochester MN 55901-4276
Phone: (507) 288-2457
Fax: (507) 288-1299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2090 | Minnesota |
Profile Details
| NPI number | 1184608200 |
|---|---|
| LBN Legal business name | Johnson, Bryan Lowell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 28th, 2009 - about 17 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 | 1184608200 | NPPES |
| Other | HP44093 | HEALTH PARTNERS | |
| Other | 2201134 | HEALTH PARTNERS | |
| Other | 4C934J0 | HEALTH PARTNERS | |
| MEDICAID | 549823700 | HEALTH PARTNERS | |
| Other | 01017733 | HEALTH PARTNERS |
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