Johnson, Allen Jerome
Johnson, Allen Jerome is an sole proprietor health care provider with primary practice located at 14162 Commerce Ave Ne , Prior Lake MN 55372-1480. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Allen Jerome can be contacted via phone (952) 447-1117.Contact Information
Primary practice address
14162 Commerce Ave Ne
Prior Lake MN 55372-1480
Phone: (952) 447-1117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301018 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 99111062 | South Dakota |
Profile Details
| NPI number | 1922424407 |
|---|---|
| LBN Legal business name | Johnson, Allen Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2014 |
| Last updated | Mar 9th, 2014 - about 11 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.
Popular Providers
-
Grantham, Rachel
2330 Sioux Trl Nw , Prior Lake MN 55372-9077 -
Shotley, Spencer E
115 6Th Street Nw , Cass Lake MN 56633 -
Nelson, Dennis
2330 Sioux Trl Nw , Prior Lake MN 55372-9077 -
Rheaume, Brian Mark
7244 Jacobs Rd , Lake Shore MN 56468-6871 -
Tholen, Judy Ann
16123 Grant Utley Avenue , Cass Lake MN 56633 -
Kunde, Laura A D
1068 Lake St S #109, Forest Lake MN 55025-2639 -
Stroobants, Alison Mae
8530 Eagle Point Blvd Ste 100 , Lake Elmo MN 55042-8648 -
Selby, Saul
8669 Eagle Point Blvd , Lake Elmo MN 55042-8628