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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285696567 NPPES
Minnesota MEDICAID 444273300

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