Johnson, Jill M
Johnson, Jill M is an individual health care provider with primary practice located at 7600 France Ave S Ste 4100 , Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Jill M can be contacted via phone (952) 831-1551.Contact Information
Primary practice address
7600 France Ave S Ste 4100
Edina MN 55435
Phone: (952) 831-1551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42917 | Minnesota |
Profile Details
| NPI number | 1245209584 |
|---|---|
| LBN Legal business name | Johnson, Jill M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245209584 | NPPES |
| Other | 080184793 | RAILROAD MEDICARE | |
| Other | 63G80JO | RAILROAD MEDICARE |
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