Johnson, Connor G

Johnson, Connor G is an individual health care provider with primary practice located at 1025 Marsh St , Mankato MN 56001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Johnson, Connor G can be contacted via phone (507) 625-4031.

Contact Information

Primary practice address
1025 Marsh St Mankato MN 56001
Phone: (507) 625-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 39-1799960 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10672 Minnesota

Profile Details

NPI number 1285168369
LBN Legal business name Johnson, Connor G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Sep 18th, 2020 - about 6 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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