Johnson, Thomas Hagge

Johnson, Thomas Hagge is an individual health care provider with primary practice located at 1600 Saint Johns Blvd Ste 200 , Maplewood MN 55109-1190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Thomas Hagge can be contacted via phone (651) 326-4327.

Contact Information

Primary practice address
1600 Saint Johns Blvd Ste 200 Maplewood MN 55109-1190
Phone: (651) 326-4327
Fax: (651) 326-8171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 31296 Minnesota

Profile Details

NPI number 1730148560
LBN Legal business name Johnson, Thomas Hagge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 8th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730148560 NPPES
Minnesota MEDICAID 277865300
Minnesota MEDICAID 31522300

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