Johnson, Alan Stuart
Johnson, Alan Stuart is an individual health care provider with primary practice located at 3960 Coon Rapids Blvd Nw Suite 104, Coon Rapids MN 55433-2569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Alan Stuart can be contacted via phone (763) 236-9000.Contact Information
Primary practice address
3960 Coon Rapids Blvd Nw Suite 104
Coon Rapids MN 55433-2569
Phone: (763) 236-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32879 | Minnesota |
Profile Details
NPI number | 1285696567 |
---|---|
LBN Legal business name | Johnson, Alan Stuart |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Oct 19th, 2011 - about 14 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 | 1285696567 | NPPES |
Minnesota | MEDICAID | 444273300 |
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