Johnson, Carol H
Johnson, Carol H is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Carol H can be contacted via phone (763) 782-6400.Contact Information
Primary practice address
909 Fulton St Se
Minneapolis MN 55455-4800
Phone: (763) 782-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2134 | Minnesota |
Profile Details
| NPI number | 1073591939 |
|---|---|
| LBN Legal business name | Johnson, Carol H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Jan 26th, 2024 - about 11 months 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 | 1073591939 | NPPES |
| Minnesota | MEDICAID | 339523500 |
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