Johnson, Molly Ann
Johnson, Molly Ann is an individual health care provider with primary practice located at 9120 Springbrook Dr Nw , Coon Rapids MN 55433. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Molly Ann can be contacted via phone (612) 400-6119.Contact Information
Primary practice address
9120 Springbrook Dr Nw
Coon Rapids MN 55433
Phone: (612) 400-6119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1619454519 |
|---|---|
| LBN Legal business name | Johnson, Molly Ann |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1619454519 | NPPES |
| Minnesota | MEDICAID | 101YM0800X |
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