Johnson, Benjamin H
Johnson, Benjamin H is an individual health care provider with primary practice located at 4190 Loberg Ave , Duluth MN 55811-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Benjamin H can be contacted via phone (218) 249-5700.Contact Information
Primary practice address
4190 Loberg Ave
Duluth MN 55811-2652
Phone: (218) 249-5700
Fax: (218) 249-4666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30419 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39802 | Minnesota |
Profile Details
| NPI number | 1164428280 |
|---|---|
| LBN Legal business name | Johnson, Benjamin H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 27th, 2017 - about 7 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 | 1164428280 | NPPES |
| Wisconsin | MEDICAID | 31750700 |
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