Johnson, Dana E

Johnson, Dana E is an individual health care provider with primary practice located at 516 Delaware St Se University Of Minnesota Phy Pwb Fourth Floor Room 4-100, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, Dana E can be contacted via phone (612) 672-7211.

Contact Information

Primary practice address
516 Delaware St Se University Of Minnesota Phy Pwb Fourth Floor Room 4-100 Minneapolis MN 55455
Phone: (612) 672-7211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23986 Minnesota

Profile Details

NPI number 1508959453
LBN Legal business name Johnson, Dana E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 26th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508959453 NPPES
Montana MEDICAID 0052117
Montana Other 4774518
Montana Other 022574
Montana Other 101184
Montana Other 1009158
Montana MEDICAID 228293300
Montana Other HP13613
Montana Other 604716
Montana MEDICAID 0972521
Montana Other 4724899
Montana Other 2T286JO

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