Johnson, David Lee

Johnson, David Lee is an sole proprietor health care provider with primary practice located at 8400 Normandale Lake Blvd Ste 920 , Bloomington MN 55437-3843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johnson, David Lee can be contacted via phone (952) 395-7212.

Contact Information

Primary practice address
8400 Normandale Lake Blvd Ste 920 Bloomington MN 55437-3843
Phone: (952) 395-7212
Fax: (952) 831-0530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G54829 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27456 Minnesota

Profile Details

NPI number 1902913239
LBN Legal business name Johnson, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Jun 27th, 2025 - about last year

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 1902913239 NPPES
Minnesota Other 882001 PREFERRED ONE
Minnesota Other 112228 PREFERRED ONE
Minnesota Other 29101JO PREFERRED ONE
Minnesota MEDICAID 315767900 PREFERRED ONE
Minnesota Other PSY0215 PREFERRED ONE
Minnesota Other 15-20048 PREFERRED ONE

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