Johnson, Carol J.
Johnson, Carol J. is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Johnson, Carol J. can be contacted via phone (701) 364-3300.Contact Information
Primary practice address
1702 University Dr S
Fargo ND 58103-4940
Phone: (701) 364-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45735 | Minnesota |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 45749 | Minnesota |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 15917 | North Dakota |
Profile Details
| NPI number | 1679535991 |
|---|---|
| LBN Legal business name | Johnson, Carol J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Oct 20th, 2021 - about 3 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 | 1679535991 | NPPES |
| Minnesota | Other | HP38799 | HEALTH PARTNERS |
| Minnesota | Other | P00047499 | HEALTH PARTNERS |
| Minnesota | Other | 66-06190 | HEALTH PARTNERS |
| Minnesota | Other | 072K4J0 | HEALTH PARTNERS |
| Minnesota | Other | 171680 | HEALTH PARTNERS |
| Minnesota | Other | 1882619 | HEALTH PARTNERS |
| Minnesota | Other | 2110090 | HEALTH PARTNERS |
| Minnesota | MEDICAID | 34407600 | HEALTH PARTNERS |
| Minnesota | Other | 607632700 | HEALTH PARTNERS |
| Minnesota | Other | NA9141035345 | HEALTH PARTNERS |
| Minnesota | Other | 01-18712 | HEALTH PARTNERS |
| Minnesota | MEDICAID | 607632700 | HEALTH PARTNERS |
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