Johnson, Douglas Allan

Johnson, Douglas Allan is an individual health care provider with primary practice located at 2501 Keenan Dr , International Falls MN 56649-2181. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Johnson, Douglas Allan can be contacted via phone (218) 293-9431.

Contact Information

Primary practice address
2501 Keenan Dr International Falls MN 56649-2181
Phone: (218) 293-9431
Fax: (218) 285-6875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22875 Minnesota

Profile Details

NPI number 1841223708
LBN Legal business name Johnson, Douglas Allan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 20th, 2016 - about 9 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 1841223708 NPPES
Wisconsin MEDICAID 32404500
Wisconsin MEDICAID 303363500

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