Johnson, Nicole Deborah

Johnson, Nicole Deborah is an sole proprietor health care provider with primary practice located at 1114 5Th St , Howard Lake MN 55349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Johnson, Nicole Deborah can be contacted via phone (763) 350-6924.

Contact Information

Primary practice address
1114 5Th St Howard Lake MN 55349
Phone: (763) 350-6924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1578881603
LBN Legal business name Johnson, Nicole Deborah
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2010
Last updated Oct 24th, 2013 - about 13 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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