Johnsen, Melissa L
Johnsen, Melissa L is an sole proprietor health care provider with primary practice located at 2800 S Columbia Rd Ste 81 , Grand Forks ND 58201-6013. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnsen, Melissa L can be contacted via phone (701) 795-1441.Contact Information
Primary practice address
2800 S Columbia Rd Ste 81
Grand Forks ND 58201-6013
Phone: (701) 795-1441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 618 | North Dakota |
Profile Details
| NPI number | 1992890586 |
|---|---|
| LBN Legal business name | Johnsen, Melissa L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992890586 | NPPES |
| Minnesota | Other | 2914 | STATE LICENSE |
| Minnesota | Other | 68-0560920 | STATE LICENSE |
| Minnesota | Other | 618 | STATE LICENSE |
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