Johnson, Iris E.

Johnson, Iris E. is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Johnson, Iris E. can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5710
Fax: (763) 586-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5400 Minnesota

Profile Details

NPI number 1760582167
LBN Legal business name Johnson, Iris E.
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 2007 - about 18 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 1760582167 NPPES
Minnesota Other 433T1JO BCBS OF MN
Minnesota Other 4500322 BCBS OF MN
Minnesota Other HP19912 BCBS OF MN

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