Johnson, Curt L
Johnson, Curt L is an individual health care provider with primary practice located at 4801 Veterans Dr St Cloud Va Medical Center, Saint Cloud MN 56303-2015. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Curt L can be contacted via phone (218) 839-4785.Contact Information
Primary practice address
4801 Veterans Dr St Cloud Va Medical Center
Saint Cloud MN 56303-2015
Phone: (218) 839-4785
Fax: (218) 829-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1517 | Minnesota |
Profile Details
| NPI number | 1871503995 |
|---|---|
| LBN Legal business name | Johnson, Curt L |
| Credentials | PHD LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jan 6th, 2010 - about 16 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 | 1871503995 | NPPES |
| Minnesota | Other | 62G70JO | BCBS |
| Minnesota | Other | 6101305 | BCBS |
| Minnesota | MEDICAID | 633252800 | BCBS |
| Minnesota | Other | 850261 | BCBS |
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