Johnson, Mandi Lynn
Johnson, Mandi Lynn is an individual health care provider with primary practice located at 1000 South Columbia Road , Grand Forks ND 58206-6002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Mandi Lynn can be contacted via phone (701) 780-5000.Contact Information
Primary practice address
1000 South Columbia Road
Grand Forks ND 58206-6002
Phone: (701) 780-5000
Fax: (701) 777-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TRL10631 | North Dakota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PT11698 | North Dakota |
Profile Details
| NPI number | 1639374960 |
|---|---|
| LBN Legal business name | Johnson, Mandi Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Mar 8th, 2021 - about 5 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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