Johnson, Samuel

Johnson, Samuel is an individual health care provider with primary practice located at 1500 Curve Crest Blvd W , Stillwater MN 55082-6040. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Samuel can be contacted via phone (651) 439-1234.

Contact Information

Primary practice address
1500 Curve Crest Blvd W Stillwater MN 55082-6040
Phone: (651) 439-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2266 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7270 Wisconsin

Profile Details

NPI number 1558740803
LBN Legal business name Johnson, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated Aug 17th, 2023 - about 3 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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