House, Joseph Johnston

House, Joseph Johnston is an sole proprietor health care provider with primary practice located at 2785 White Bear Ave N Ste 403, Maplewood MN 55109-1307. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. House, Joseph Johnston can be contacted via phone (651) 779-0069.

Contact Information

Primary practice address
2785 White Bear Ave N Ste 403 Maplewood MN 55109-1307
Phone: (651) 779-0069
Fax: (651) 779-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0281 Minnesota

Profile Details

NPI number 1285791558
LBN Legal business name House, Joseph Johnston
Credentials L.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated May 24th, 2012 - about 12 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 1285791558 NPPES
Minnesota MEDICAID 705847100

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