Johnson, Troy Sherman

Johnson, Troy Sherman is an individual health care provider with primary practice located at 200 4Th Ave W Government Center Rm 300, Shakopee MN 55379-1220. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Troy Sherman can be contacted via phone (952) 496-8573.

Contact Information

Primary practice address
200 4Th Ave W Government Center Rm 300 Shakopee MN 55379-1220
Phone: (952) 496-8573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2968 Minnesota

Profile Details

NPI number 1669471108
LBN Legal business name Johnson, Troy Sherman
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669471108 NPPES
Minnesota MEDICAID 18780100

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