Johnson, Andrew J

Johnson, Andrew J is an individual health care provider with primary practice located at 1245 S Washington Ave , Detroit Lakes MN 56501-3905. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Johnson, Andrew J can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 S Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 801 Minnesota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000770 Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 801 Minnesota

Profile Details

NPI number 1649281361
LBN Legal business name Johnson, Andrew J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 29th, 2022 - about 2 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 1649281361 NPPES
Washington MEDICAID 8436453
Washington Other P00235433
Washington Other 0207841
Washington Other 8905370
Washington Other 0196122
Washington Other 8941204

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