Johnson, Richard E
Johnson, Richard E is an individual health care provider with primary practice located at 1000 E 1St St Ste 400, Duluth MN 55805-2297. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Johnson, Richard E can be contacted via phone (218) 722-5513.Contact Information
Primary practice address
1000 E 1St St Ste 400
Duluth MN 55805-2297
Phone: (218) 722-5513
Fax: (218) 722-6515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 8860 | Minnesota |
Profile Details
| NPI number | 1679579429 |
|---|---|
| LBN Legal business name | Johnson, Richard E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| 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 | 1679579429 | NPPES |
| Minnesota | Other | 73A56J0 | BLUE SHIELD |
| Minnesota | Other | 983271008414 | BLUE SHIELD |
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