Johnson, Jeremiah David

Johnson, Jeremiah David is an individual health care provider with primary practice located at 2700 Vikings Cir , Eagan MN 55121-1002. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johnson, Jeremiah David can be contacted via phone (952) 456-7600.

Contact Information

Primary practice address
2700 Vikings Cir Eagan MN 55121-1002
Phone: (952) 456-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 71712 Minnesota

Profile Details

NPI number 1386031433
LBN Legal business name Johnson, Jeremiah David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Jun 10th, 2022 - about 4 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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