Johnson, Thomas
Johnson, Thomas is an sole proprietor health care provider with primary practice located at 516 S Pokegama Ave , Grand Rapids MN 55744-3820. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Johnson, Thomas can be contacted via phone (218) 327-2001.Contact Information
Primary practice address
516 S Pokegama Ave
Grand Rapids MN 55744-3820
Phone: (218) 327-2001
Fax: (218) 302-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R 179591-6 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2950 | Minnesota |
Profile Details
| NPI number | 1609051168 |
|---|---|
| LBN Legal business name | Johnson, Thomas |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2008 |
| Last updated | Nov 29th, 2023 - about 2 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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