Bakken, Johan Septimus

Bakken, Johan Septimus is an individual health care provider with primary practice located at 1001 E Superior St Suite L201, Duluth MN 55802-2207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bakken, Johan Septimus can be contacted via phone (218) 249-3057.

Contact Information

Primary practice address
1001 E Superior St Suite L201 Duluth MN 55802-2207
Phone: (218) 249-3057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 31523 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31523 Minnesota

Profile Details

NPI number 1366491789
LBN Legal business name Bakken, Johan Septimus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 29th, 2016 - about 8 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 1366491789 NPPES
Minnesota MEDICAID 661088900

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