Johnson, Willard

Johnson, Willard is an individual health care provider with primary practice located at 1404 Highway 71 , International Falls MN 56649-2154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Willard can be contacted via phone (218) 283-3406.

Contact Information

Primary practice address
1404 Highway 71 International Falls MN 56649-2154
Phone: (218) 283-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP7301 Minnesota

Profile Details

NPI number 1922211572
LBN Legal business name Johnson, Willard
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
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 1922211572 NPPES
Minnesota Other 3H582JO BCBS OF MINNESOTA
Minnesota Other 1011397 BCBS OF MINNESOTA

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