Johnson, Kenneth
Johnson, Kenneth is an sole proprietor health care provider with primary practice located at 3570 Lexington Ave N , Shoreview MN 55126-8049. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Kenneth can be contacted via phone (651) 481-0664.Contact Information
Primary practice address
3570 Lexington Ave N
Shoreview MN 55126-8049
Phone: (651) 481-0664
Fax: (651) 481-3907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 495 | Minnesota |
Profile Details
| NPI number | 1578625893 |
|---|---|
| LBN Legal business name | Johnson, Kenneth |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578625893 | NPPES |
| Minnesota | Other | HP34166 | HEALTH PARTNERS |
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